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THE 


HOMCEOPATHIC 


DOMESTIC  PHYSICIAN. 


BY 

COXSTANTINE  .HERING,  M.  D. 


THE  ONLY  AUTHORIZED  ENGLISH  EDITION, 

BY  THE  AUTHOR  HIMSELF  THOROUGHLY  REVISED  AjS'D  REFORMED 

FROM   THE 

latest  (ierman  Sbition. 


NEW  YORK : 

BOERICKE  &  TAFEL,  l^o.  145  GRAITD  STREET. 

PHILADELPHIA : 
F.  E.  BOERICKE,  i^o.  635  ARCH  STREET. 

1872. 


Entered  according  to  Act  of  Congress,  in  the  year  185.    by 

CONSTANTINE    BERING, 

In  the  Clerk's  Office  of  the  District  Court  of  the  United  States,  iu  and  for  tbo 
Eastern  District  of  Pennsylvania. 


OAXTON    PEBB8    OF 
SHEBMAK     *    CO..    PHILADELPHIA. 


liiotnedkaj 
Libraiy 


TO 


HONORARY   MEMBER   OF   THE  AMERICAN   PKOVERS'  UNION,  AND   OF  VARIOUS 
OTHER   MEDICAL    SOCIETIES; 

PRACTISING    PHYSICIAN    IN    BALTIMORE,    MD 

ONE    OP    THE     FEW    SURVIVING     PERSONAL    DISCIPLES     OF     SAMUEL   HAHNEMANN 

ONE   OF    THE   FIRST    PR0VER3    OF    OUR    MATERIA    MEDICA, 

AND   A 

MEMBER   OF   OUR  MASTER  S  HOUSEHOLD   FOR   NEARLY  A  SCORE   OF  YEARS, 
DEDICATED 

2i3  q   Jokeii    of    ^iiKsU    isfeeh), 

,  By  his  Friend, 

CONSTANTINE  HEUING. 


CONTENTS. 


PA«K. 

Preface xv 

Introduction xix 

Directions  for  Prescribing xx 

Aflministration  of  the  Medicines  and  Repetition  of  Doses xxii 

Regimen  of  the  Sick  during  Homoeopathic  Treatment xxiy 

Instructions  for  Patients  how  to  communicate  their  cases  to  a  Physician 

by  letter xxix 

List  of  Medicines zxxvi 


PART    FIRST. 

OF  THE  MOST  COMMON  CAUSES  OF  DISEASE. 

Chapter  I. — Affections  of  the  Mind. 

Sudden  Emotions 1 

Grief  and  Sorrow 4 

Vexation 6 

Anger 7 

Sensitiveness  and  Irritability 8 

Chapter  II. —  Consequences  of  Colds. 

Remarks 9 

Catarrh 10 

Cough 11 

Difficulty  of  Breathing 11 

Diarrhoea 12 

Pain  in  the  Bowels 12 

(V) 


VJ  CONTENTS. 

Headache 13 

A.ffections  of  the  Eyes 14 

A.ffcctions  of  the  Ears 14 

Toothache 14 

Sore  Throat 14 

Nausea  and  Vomiting 15 

Rheumatic  Pains 15 

Chapter  III. — Consequences  of  Overheating,  immoderate  Exertion  and 
great  Exhaustion. 

Overheating 17 

Sun-strokes 18 

Headache 19 

Diarrhoea 19 

'  Fatigne 20 

Sitting  up  at  Night 22 

Confinement  and  much  mental  application 23 

Excesses 23 

Loss  of  Fluids 24 

Chapter  IV. — Consequences  of  Surfeiting  and  disordered  Stomach. 

Remarks 25 

Overfeeding  of  Children 27 

Headache 27 

Vomiting 2S 

Flatulency 29 

Colic 29 

Diarrhoea 29 

Sleeplessness 29 

Nightmare 29 

Fever 29 

Rash : 29 

Indisposition  from  Ice  or  Cold  Water 30 

Chapter  V. —  Consequences  of  spirituous  Liquors,  Coffee,  Tea,  Tobacco, 
Acids,  &c. 

Intoxication 32 

Effects  of  Intoxication 35 

Delirium  Tremens 36 

Bad  effects  of  Coffee 37 

Effects  of  Tea  Drinking 38 

Effects  of  smoking  Tobacco 39 

Injurious  effects  of  sour  Food 39 


CONTE^^TS.  VI2 

Chapter  VI. — Effects  of  the  Medicines  hitherto  in  general  use,  and  Reme- 
dies to  counteract  these  effects. 

Remarks 39 

Effects  of  Herb  Teas., 40 

"           Opium  or  Laudanum 40 

"           Peruvian  Bark  or  Quinine 40 

"           other  Drugs 41 

"           Magnesia 41 

"           Sulphur  and  Iodine. 42 

"           Mercury 42 

"           Lead 44 

"           Arsenic 44 

"           Iron 44 

Chapter  "VII. — Adulterations  and  Poisons. 

Remarks .,  45 

Adulteration  of  Wine 45 

"                Vinegar 47 

"                Malt  Liquors 47 

"                Brandy • 47 

"               Sweet  Oil 47 

«               Milk 47 

"                Butter 48 

«                Flour 48 

"                Bread 48 

Poisons  in  the  Air 48 

Poisons  in  the  Water 49 

Milk 49 

Meat 50 

Vegetables  and  Fruits 50 

Mushrooms 51 

Kitchen  Salt 51 

Kitchen  Utensils 51 

Paints 52 

Cosmetics  and  Washes 53 

Panaceas  and  Vermifuges 53 

Chapter  VIII. — Of  Poisoning. 

What  is  to  be  done  in  cases  of  Poisoning 55 

Treatment  when  the  Poison  is  ascertained 60 

Poisonous  Gases,  Antidotes  and  Treatment 60 

Poisoning  by  mineral   and   other   strong    Acids ;    Antidoltes   and 

Treatment 64 


VIII  CONTENTS. 

Alkaline  Poisons,  Antidotes  and  Treatment 64 

Other  Substances  which  have   a  powerful   effect,  Antidotes  and 

Treatment 65 

Metallic  Substances,  their  Antidotes  and  Treatment 66 

Vegetable  Poisons,  their  Antidotes  and  Treatment 68 

Animal  Poisons,  their  Antidotes  and  Treatment 69 

Poison  generated  by  Disease  of  any  kind 71 

Poisoned  Wounds 72 

Table  of  Antidotes  to  the  most  powerful  Poisons 76 

Chapter  IX. — External  Injuries. — Concussion,  Bruises,  Sprains,  Dislo- 
cations, Fractures,  c&c. 

Concussion  of  the  Brain 77 

Overlifting ,  TS 

False  Steps 78 

Bruises  (Contused  Wounds) 79 

Bruises  of  the  Eyes 79 

Shocks  and  Bruises  of  the  Head 79 

Sprains 80 

Dislocations,  Luxations 80 

Fractures 81 

Wounds 81 

Burns  and  Scalds 87 

Chapter  X. — Foreign  Substances  introduced  into  tlie  Human  Body. 

Into  the  Eye 90 

Ear 91 

Nose 91 

"        Throat  ((Esophagus) 91 

"        Larynx  or  Windpipe 93 

"        Stomach  and  Intestines 95^ 

"        Skin 96 


CONTENTS.  IX 

PART    SECOND. 

TREATMENT   OF  DISEASES. 

ChiVPTkr  I. — Affections  of  the  Head. 

Giddiness,  Vertigo 97 

Weakness  of  Memory 98 

Determination  of  Blood  to  the  Head 99 

Headache ..." 100 

"        from  Determination  of  Blood  to  the  Head 100 

"  "    Causes  which  lie  in  the  Blood lOL 

"         caused  by  Catarrh 101 

"        from  Rheumatism 102 

"  "    Disordered  Stomach  and  Bowels 103 

"  "    Constipation 103 

Sick  Headache 104 

Nervous  Headache 106 

Headache  caused  by  Suppression  of  Rheumatism,  Gout,  &c 110 

Losing  the  Hair Ill 

Chapter  II. — Diseases  of  the  Ei/es. 

General  Remarks 112 

Inflammation  and  swelling  of  the  Eyelid 112 

Stye  on  the  Eyelid.,, 114 

Inflammation  of  the  Eyes 114 

Rheumatic  Ophthalmia 116 

Gout  affecting  the  Eyes 117 

Eyes  affected  by  Scrofula 118 

Weakness  of  Sight,  with  Remarks  on  the  Use  of  Spectacles 121 

Short-Sightedness 1 23 

Far-Sightedness 123 

Attacks  of  Blindness , 123 

Dread  of  Light 124 

Squinting  of  Children 124 

Chapter  III. — Affections  of  the  Ears. 

Eruptions 125 

Mumps 125 

Inflammation  of  the  Ear 126 

Earache 126 

Running  of  the  Ears 128 

Buzzing  in  the  Ears 130 

Hardness  of  Hearing 131 


i  CONTENTS 

Chapter  IY. — Affedions  of  the  Nose. 

Pains  and  Eriiplions 133 

Swelling  of  the  Nose 133 

Bleeding  of  the  Nose 1 34 

Polypus  of  the  Nose 135 

Ozoena 136 

Catarrh  or  Cold  in  the  Head 136 

Chapter  V. — Ajfedions  of  the  Chest. 

Hoarseness 138 

Cough 140 

Hooping  Cough 148 

Croup 152 

Congestion  of  the  Chest 155 

Hemorrhage  from  the  Lungs ;  Spitting  of  Blood 156 

Chronic  Inflammation  of  the  Larynx 160 

Bronchitis,  including  Catarrh  on  the  Breast  of  Children 161 

Palpitation  of  the  Heart ]  64 

Asthma 166 

Pleurisy,  Inflammation  of  the  Lungs  and  Stitch  in  the  Side 170 

False  Pleurisy,  Stitch  in  the  Side 170 

Inflammation  of  the  Lungs 172 

Consumption  of  the  Lungs 176 

Contusion  or  Concussion  of  the  Chest 176 

Chapter  YI. — Affedions  oftlie  Throat. 

Sore  Throat  or  Quinsy 177 

Chapter  YII. — Affedions  of  the  Teeth  and  the  Face. 

Toothache 182 

Swelled  Face 202 

Faceache,  Neuralgia,  Tic  Douloureux 203 

Chapter  YIII. — Affedions  of  the  Mouth. 

Bad  Taste  in  the  Mouth 205 

Offensive  Breath 206 

Scurvy  in  the  Mouth,  Canker  of  the  Mouth 207 

Aflections  of  the  Tongue 208 

Chapter  IX; — Affedions  of  the  Stomach. 

Want  of  Appetite 209 

Weakness  of  the  Stomach,  Dyspepsia,  Indigestion 210 

Mucous  state  of  the  Stomach 213 


CONTENTS.  XI 

Heartbarn,  "Water-brash 214 

Nausea  and  Vomiting 215 

Sea-Sickness 216 

Pains  or  Spasms  in  the  Stomach 217 

Tomiting  of  Blood 221 

Chapter  X. — Affections  of  the  Abdomen. 

Colic 221 

Flatulencj 226 

Inflammation  of  the  Stomach  and  Intestines 227 

Determination  of  Blood  to  the  Abdomen 230 

Worms 231 

Itching  of  the  Anus 233 

Prolapsus  Ani,  Prolapsus  of  the  Rectum 234 

Hemorrhoids,  or  Piles 235 

Diarrhoea 239 

Dysentery 244 

Common  Cholera,  Cholera  Morbus 247 

Asiatic  (or  Epidemic)  Cholera 248 

Cholerine 249 

Constipation 251 

Inflammation  of  the  Liver ;  Pains  in  the  Liver 254 

Jaundice '. 255 

Difficulty  and  Pain  in  making  "Water 2o5 

Hernia ;  Rupture 257 

Chapter  XL — Diseases  of  Women. 

Menstruation  (the  Monthly  Illness) 259 

Tardy  Menstruation 260 

Suppression  of  the  Menses 262 

Too  Copious  Menstruation 263 

Painful  Menstruation,  Menstrual  Colic 264 

Chlorosis,  Green  Sickness 266 

Cessation  of  the  Menses 267 

Leucorrhoea,  "Whites 268 

Remarks  on  Pregnancy 269 

Derangements  during  Pregnancy 270 

Menstruation 270 

Vertigo  and  Headache 270 

Morning  Sickness 272 

Constipation 273 

Diarrhoea 273 


Xn  CONTENTS. 

Derangements  daring  PVegnancy. 

Pruritus 274 

Fainting  and  Hysteric  Fits 274 

Toothache 275 

Varicose  Veins 275 

Hemorrhoids  or  Piles 276 

Pains  in  the  Back  and  Side  during  Pregnancy 276 

Craraps 276 

Incontinence  of  Urine 277 

Depression  of  Spirits 277 

Miscarriage,  Abortion 277 

Menorrhagia  or  Flooding 280 

Preparation  of  the  Breasts 282 

False  Pains 282 

Labor,  Child-Birth 283 

Protracted  Labor , .-...--.-    ...284 

Spasmodic  Pains,  Cramps  and  Convulsions 285 

Treatment  after  Delivery 286 

Flooding  after  Delivery 286 

After-Pains 287 

Duration  of  Confinement 288 

Irregularities  of  the  Lochial  Discharge 288 

Milk  Fever. .- 289 

Suppressed  Secretion  of  Milk 290 

Excessive  Secretion  of  Milk 291 

Involuntary  Emission  of  Milk 291 

Diarrhoea  during  confinement 291 

Constipation 292 

Eetention  of  Urine 292 

Sore  Nipples 292 

Gathered  Breasts 292 

Weakness  from  Nursing 293 

Falling  off  of  the  Hair 293 

Chapter  XII. — Treatment  of  Infants. 

Reception  at  Birth 294 

Apparent  Death 294 

Washing  the  Child 295 

Dressing  the  Navel 295 

The  Meconium 295 

Swelling  and  Elongation  of  the  Head 296 

Putting  the  Child  to  the  Breast 296 

Inflammation  of  the  Eyes 296 


CONTENTS.  XIII 

Obstruction  of  the  Nose,  "Sniffles" 297 

Sore  Moath,  Thrush 297 

Sore  Throat 298 

Jaundice 298 

Excoriation 299 

The  Gum 299 

Eetention  of  Urine 299 

Constipation 299 

Diarrhcea 300 

Colic 301 

Swelling  of  the  Breasts 301 

Crying  of  Infants 302 

Restlessness  and  Wakefulness 302 

Hiccough 303 

Scurf  on  the  Head 303 

Milk-scab,  Milk-crust 303 

Scald  Head,  Eingworra  of  the  Scalp 304 

Spasms  or  Convulsions 305 

Dentition,  Teething 307 

Summer  Complaint,  Cholera  Infantum 309 

Rupture  of  the  Navel,  Umbilical  Hernia 312 

Heat  Spots,  "Prickly  Heat" 312 

Whites  or  Leucorrhoea  of  Children 313 

Weaning 313 

Limping,  Lameness 313 

Stuttering 314 

Squinting 314 

Wetting  the  Bed 314 

Vaccination ■ 317 

Chapter  XIII. — Diseases  of  the  Skin. 

Rash 321 

Nettle  Rash,  Urticaria 322 

Measles 323 

Scarlet  Fever,  Scarlatina 325 

Scarlet  Rash 327 

Chicken-Pox 327 

Small-Pox 328 

Yarioloid 328 

Erysipelas,  St.  Anthony's  Fire,  Rose 328 

Itching  of  the  Skin 330 

Itch,  Scabies 330 

Boil,  Furunculus 331 


XIV  CONTENTS. 

Carbuncle,  Malignant  Furunculus 332 

Chilblain,  Frost-bite 332 

Whitlow,  Felon 333 

Ulcer 334 

Abscess 335 

Corns 335 

Sore  Feet 336 

Warts 336 

Bed  Sores 336 

Chapter  XIV. — Some  General  Diseases. 

Gout 336 

Rheumatism  with  Fever 337 

Eheumatism  without  Fever 339 

Lumbago,  Pains  in  the  Loius  and  Back 339 

Sciatica 340 

Crick  in  the  Neck 340 

Cramp  in  the  Limbs 340 

Epilepsy,  Epileptic  Convulsions 341 

Night-Mare 341 

Sleeplessness 342 

Dropsy ^ 343 

Ague,  Chills  and  Fever,  Fever  and  Ague 343 

Congestive  or  Pernicious  Fever,  Remittent  or  Bilious  Fever 354 

Yellow  Fever 354 

Fainting,  Swooning 360 

Apparent  Death 361 

"  "      from  Hunger 362 

.«  "        "      a  Fall 362 

"  "        "     Suffocation  by  Hanging,  Pressure,  Choking..  363 

"  "        "      Drowning 364 

«  "        "      being  Frozen 364 

««  "        "      Lightning 365 

M  u        ((      Mental    Emotion,    Bad     Gases,    and    other 

Causes 366 

"  "        "      Apoplexy 366 

Tabular  Index  of  the  Remedies  used,  their  English  Names,  and 
Diseases  in  which  employed 367 


P  REFAC  E. 


Since  the  last  edition  of  this  work  in  the  English  language,  (pub- 
lished in  1851,)  had  been  sold,  about  four  years  ago,  the  Author  had 
refused  to  allow  another  one  to  be  made,  either  by  the  former  pub- 
lishers or  others,  and  declined  a  great  many  offers  made  to  him  by 
those  who  wished  to  publish  a  new  edition. 

The  Author  found  his  book,  instead  of  being  improved  with  every 
new  edition,  according  to  his  German  original  work,  had  by  others, 
trusted  with  the  revision,  been  altered  in  direct  opposition  to  his  own 
views ;  it  had  been,  as  he  calls  it,  more  and  more  spoiled,  particularly 
by  the  absurd  introduction  of  a  poor  pathology  and  the  most  miserable 
"diagnosis;"  and  last  of  all  by  a  deceptive  advice  in  regard  to  the 
"doses." 

Since  the  first  edition  of  this  book  was  published,  twenty  years  ago, 
a  host  of  bookmakers  had  contrived  and  published  a  variety  of  so-called 
"  domestic  books,"  mostly  made  after  and  out  of  this  book  as  the  first. 
The  publishers,  one  pushing  the  other  in  the  market,  had  looked  more 
to  their  own  interest  in  the  sale  than  to  the  interest  of  the  cause,  and 
proposed  still  more  of  such  "  improvements,"  called  by  the  Author 
"  deceptions,"  while  the  Author  felt  more  and  more  disinclined  to  enter 
into  such  disreputable  competition. 

A  popular  work  has  to  accommodate  itself  to  the  position  of  the 
people,  but  ought  never  submit  to  popular  prejudices  or  popular 
errors,  and  if  a  medical  work,  it  should  not  become  an  advice  how  to 
bungle,  and  at  least  not  sanction  such  continual  blunders.  But  nothing 
else  is  promoted  by  all  such  works,  if  they  contain  high  sounding  names 
of  diseases,  with  a  diagnosis  and  such  like,  and  this  is  particularly  the 
case  in  homoeopathy.  True  homoeopathy  ought  never  to  be  guided 
by  the  name  of  a  disease.  And  as  we  may  see  every  day,  that  even 
physicians  themselves  are  by  far  oftener  by  such  names  misled  than 

(XV) 


XVI  PREFACE. 

aided  in  the  selection  of  the  right  medicine,  how  then,  can  persons,  not 
physicians,  and  for  whom  these  books  are  intended,  ever  learn  from  a 
few  lines  in  a  book  how  to  distinguish  one  form  of  a  disease  from 
another,  and  how  to  make  a  true  diagnosis  ?  It  is  a  complete 
absurdity  even  to  attempt  it.  Thus  it  has  been  done,  and  is  still 
done,  only  for  the  sake  of  a  more  learned  appearance.  To  write  in 
technical  terms,  is  a  very  cheap  way  of  boasting.  But  as  all  men  of 
"omraon  sense  never  trust  a  doctor  whose  mouth  abounds  with  tech- 
nicalities, so  they  will  throw  aside  a  book  which  pretends  to  be  a  clear 
advice  for  everybody,  and  in  which  there  is  not  a  page  but  swarms 
with  technical  terms. 

But  the  worst  of  all  in  such  homoeopathic  books,  is  the  addition  of 
the  doses  of  the  medicine.  It  has  been  said  "  on  both  sides  of  the 
Atlantic,  many  have  felt  it  to  be  a  very  serious  defect  in  the  former 
editions  of  this  domestic  guide,"  that  no  directions  had  been  given 
with  regard  to  the  strength  of  the  doses,  and  particularly  the  repeti- 
tion of  the  same  medicine. 

The  only  advice  which  can  be  given  at  all,  had  been  given  in  the 
introduction  to  the  book,  but  they  wanted  such  a  direction  in  every 
chapter  with  regard  to  the  different  diseases  or  different  medicines. 
But  all  such  directions  in  particular,  are  nothing  but  wilful  deceptions 
of  the  people.  There  is  not  the  slightest  doubt  among  physicians, 
however  great  the  difference  may  be  in  their  general  views  regarding 
the  doses,  that  the  strength  and  repetition  depend  altogether  and  ex- 
clusively on  the  peculiarity  of  the  single  case,  and  not  at  all  on  the 
name  of  the  disease  or  the  drug. 

How  is  it  possible,  that  in  nearly  all  such  books  for  family  use,  a 
conspicuous  part  of  every  chapter  is  formed  by  directions,  because 
they  are  very  much  liked  by  the  ignorant,  whether  the  medicines  are 
to  be  taken  dry  or  in  water,  how  often  and  in  how  many  hours  they 
are  to  be  repeated,  &c.,  if  all  this  depends,  never  on  the  disease  or 
the  name  given  to  it,  but  on  the  character  of  the  case  ?  A  physician 
has  to  take  into  consideration  the  age  of  the  patient,  his  constitution, 
his  general  disposition,  his  peculiarities,  &c. 

The  homceopathists  themselves  differ  greatly  in  their  views;  some 
cannot  get  the  doses  strong  enougli,  some  prefer  different  medium 
preparations,  and  some  give  higher  and  the  highest  potencies  ;  all 
these  things  are  still  open  questions  with  them  ;  they  differ  also  with 


PEEFACE.  XVII 

regard  to  the  rule  for  the  repetitions.  But  they  all  do  agree  that  it 
ought  to  depend  in  every  single  case  of  a  patient,  on  the  nature  of  the 
ca  e,  and  not  on  a  name.  Hence,  all  directions  given  must  be  general, 
and  can  only,  in  a  few  instances,  be  given  more  in  particular. 

In  a  domestic  work,  a  selection  has  to  be  made  of  the  more  common 
and  more  frequently  used  drugs  ;  the  family  boxes  contain  less  than 
one-tenth  of  the  drugs  used  by  homoeopathic  physicians.  The  phy- 
sician should  have  at  his  command,  a  long  series  of  triturations,  dilu- 
tions and  potencies  of  each  of  the  drugs.  For  the  family  box,  a 
selection  has  also  to  be  made  from  the  most  useful  gradations  of  these 
preparations. 

Thus,  general  rules  only  can  be  given,  and  they  have  to  be  studied 
in  the  introduction,  and  followed  in  each  case. 

Every  one  who  "  feels  this  as  a  very  serious  defect,"  has  to  take 
another  book.  The  Author  of  this  has  never  been  governed  by  the 
rule :  "  As  the  world  wants  to  be  deceived,  it  ought  to  be  deceived." 
His  intention  was  to  aid  the  cause,  and  this  alone  has  induced  him  to 
allow  his  book  again  to  enter  into  the  arena. 

CONSTANTINE  HERING. 

Philadelphia,  January  Isf,  1858. 


INTRODUCTION. 


This  book  is  to  be  a  guide,  by  the  aid  of  which,  in  many  cases  of 
disease,  a  cure  may  be  effected  with  homoeopathic  medicines.  Those 
whom  experience  has  convinced  of  the  advantages  of  the  system  of 
Hahnemann,  will  soon  learn  how  to  make  use  of  it ;  and  those  who 
have  had  no  opportunity  of  testing  the  merits  of  homoeopathy,  it  will 
give  a  chance  of  trying  it,  instead  of  the  so-called  domestic  remedies. 

It  is  intended  to  be  an  adviser  to  many  in  cases  of  indisposition, 
when  one  will  not  or  cannot  consult  a  physician.  To  persons  living 
in  the  country,  it  will  prove  valuable,  when  medical  aid,  especially  at 
night,  can  be  had  but  with  much  trouble,  expense  and  delay ;  but, 
with  this  guide  at  hand,  relief  may  be  obtained  in  many  cases  of 
disease. 

As  this  work  is  intended  for  the  great  mass  of  the  community,  and 
to  make  the  homoeopathic  doctrines  intelligible  and  useful  to  all,  the 
author  has  tried  to  express  himself  with  distinctness  and  simplicity,  in 
order  to  be  generally  comprehended.  This  common-place,  familiar  style 
may,  to  a  certain  extent,  enable  a  great  many  to  prescribe  for  them- 
selves. But  the  contents  of  this  book  can  make  no  one  a  homoeopathic 
physician.  It  has  been  said  by  the  opponents  of  our  doctrine,  that  an 
acquaintance  with  the  old  system  of  medicine  was  unnecessary  to  a 
homoeopathic  physician:  but  this  is  a  great  error.  No  one  can  be  a 
successful  disciple  of  Halmemann,  who  is  not  well  versed,  as  Hahne- 
mann himself  was,  in  the  learning  of  the  medical  schools;  and  it 
would  be  just  as  impossible  for  him  to  act  judiciously  without  a  know- 
ledge of  anatomy,  physiology,  pathology,  surgery,  and  materia  medica, 
together  with  chemistry  and  botany,  as  for  a  man,  ignorant  of  naviga- 
tion and  seamanship,  to  carry  a  vessel  with  safety  into  port. 

If,  in  giving  this  work  to  the  public,  the  author  can  aid  in  driving 
from  common  use  the  so-called  domestic  remedies,  such  as  chamomile, 

(xi.^) 


XX  DIRECTIONS   FOR   PRESCRIBING. 

hoarhound  and  other  teas,  paregoric,  Epsom-salts,  magnesia,  and  the 
wliole  host  of  so-called  simple  remedies,  and  also  all  the  nostrums  or 
patent  medicines,  some  of  which  are  to  be  found  in  almost  every  nur- 
sery, and  the  habitual  use  of  which  is  such  a  prolific  cause  of  innumer- 
able drug-diseases,  he  will  have  accomplished  the  chief  object  of  its 
publication,  and  have  substituted  for  an  irrational  and  pernicious 
practice,  a  judicious  and  rational  one. 

Directions  for  Prescribing. 

Examine  the  table  of  contents,  until  you  find  the  chapter  where  the 
complaint  is  spoken  of  for  which  you  wish  to  have  advice.  Do  not 
look  for  the  common  name  only  which  may  be  given  to  such  a  com- 
plaint by  the  Old  School  Doctors.  Most  of  these  names  are  calculated 
to  mislead  ;  but  look  for  the  principal  symptoms  of  which  the  patient 
complains.  In  order  to  facilitate  this  as  much  as  possible  the  work  is 
divided  into  two  parts  ;  the  first  treats  of  the  most  common  causes  of 
disease  ;  the  second,  of  diseases  occurring  most  frequently  in  the 
different  pai'ts  of  the  body.  Therefore,  when  the  cause  of  sickness  is 
obvious,  or  probable,  first  examine  what  is  said  of  it  in  Part  I. ;  then 
see  what  is  said  of  the  disease  in  Part  II.  The  latter  are  treated  of 
in  regular  succession,  commencing  with  the  head,  neck,  breast,  and  so 
on  downward,  enumerating  under  each  head  the  diseases  to  which  that 
part  is  principally  subject,  and  concluding  with  General  Diseases. 

By  bearing  this  arrangement  in  mind,  the  reader  will  readily  find 
what  he  may  desire.  Suppose  a  case  of  cold  attended  with  headache 
and  diarrhoea ;  look  first  for  '•'  Cold"  in  the  first  part,  cliapter  second  ; 
then  for  "  Headache"  in  the  second  part,  chapter  first ;  then  for 
"  Diarrhoea"  in  the  same,  chapter  tenth.  If  a  person  is  taken  sick, 
and  the  direct  cause  is  not  perceptible,  but  the  patient  complains  of 
pains  in  various  parts  of  the  body,  examine  the  affections  to  which 
these  several  parts  are  subject ;  thus  you  will  readily  find  the  remedy 
applicable. 

There  are  often  several  causes,  and  one  remedy  is  not  suitable  for 
them  all ;  in  this  case  give  one  remedy  after  another ;  select  first  one 
for  the  worst  symptoms,  or  still  better,  for  the  symptoms  which 
appeared  last,  or  the  cause  which  acted  last.  One,  who  has  taken 
cold,  will  easily  get  his  stomach  out  of  order;  one,  whose  stomach  is 


INTRODUCTION.  XXI 

disordered,  will  easily  take  cold.     Consider  then  first,  the  last  cause 
OS  the  more  important  one. 

Always  give  but  one  remedy,  and  only  when  this  does  no  more 
good,  another  one. 

When  the  patient  appears  to  suffer  from  several  complaints  at  the 
same  time,  it  is  well  to  ascertain  and  note  down  all  the  symptoms, 
without  referring  to  the  book,  lest  the  patient  may  state  something 
different  from  what  is  really  the  case,  and  thereby  lead  to  the  applica- 
tion of  an  improper  remedy.  Having  thus  noted  accurately  the  com- 
plaints of  the  patient,  then  inquire  minutely  into  all  the  attending 
circumstances.  1st.  The  precise  locality  of  the  pain.  2d.  Require 
of  the  patient  a  description  of  the  pain,  and  to  what  it  may  be  com- 
pared— whether  tearing,  cutting,  beating,  throbbing,  &c.  3d.  The 
occasion  of  its  getting  worse  or  better,  according  to  the  time  of  day — 
morning,  evening  or  night — to  the  weather,  whether  damp,  cold  or 
dry — to  the  position  of  the  body,  whether  when  still,  or  in  motion — 
whether  before  or  after  eating — after  sleep,  when  touched,  pressed, 
&c.  4th.  Note  the  combination  of  symptoms,  if  any ;  for  Instance, 
when  coughing  is  accompanied  with  headache ;  or  headache  with 
inclination  to  vomit ;  or  with  this  inclination,  shivering,  &c  Having 
written  down  these  observations,  then  look  into  the  book  for  the  prin- 
cipal symptoms,  and  you  may  find  the  proper  remedy. 

Examine  "Directions  for  patients  to  communicate  their  cases  to 
a  homeopathic  physician  in  writing,"  at  the  end  of  this  introduction. 
You  will  find  there  a  detailed  statement  of  all  questions  to  which 
answers  are  required,  and  upon  which  the  selection  of  a  real  homoeo- 
pathic remedy  depends.  This  is,  to  be  sure,  troublesome,  but  you  can 
have  no  success  without  it ;  if  you  succeed  without  this  troublesome 
examination,  it  is  by  chance,  not  by  skill.  If  a  doctor  tells  you  that 
he  is  so  learned  and  skilful,  that  he  can  prescribe  without  these  ques- 
tions, that  he,  for  instance,  can  see  by  the  eyes,  tongue,  &c.,  what 
medicines  to  give,  he  is  a  deceiver,  and  those  who  believe  in  him,  show 
that  they  know  nothing  whatever  of  true  homoeopathy. 

Do  not  be  discouraged  because  of  the  difficulties  experienced  at  first 
in  finding  a  suitable  remedy,  as  these  difficulties  will  vanish  as  soon  as 
you  become  familiar  with  the  book. 

If  you  give  the  wrong  remedy,  the  patient  will,  of  course,  not  get 
better,  but  it  is  not  so  bad  as  under  the  Old  School  practice.     For 


XXII  ADMINISTRATION   OF   MEDICINES,   ETC. 

homoeopathic  medicine  will  relieve,  if  it  is  the  right  one,  but  if  it  is 
not  the  right  one,  it  will  do  no  harm.  Usually  the  disease  remains  as 
it  was,  sometimes  it  changes,  you  must  then  look  into  the  book  for  a 
more  suitable  remedy. 

You  can  do  harm  with  a  homoeopathic  remedy  only  if  you  give 
too  much  of  it  and  too  often,  or  if  you  give  too  many  of  them, 
one  after  the  other,  without  waiting  for  their  effects.  Let  every 
remedy  have  its  time  to  act,  as  often  stated  in  the  book,  and  give  con- 
sistently nothing  else,  as  long  as  there  is  the  slightest  improvement. 
The  greatest  improvement  will  often  take  place  without  any  other 
remedies. 

Administration  of  the  Medicines  and  Repetition  of 

Doses. 

The  medicines  may  either  be  administered  dry,  by  placing  them 
upon  the  tongue,  or  dissolved  in  water. 

In  most  cases,  two  or  three  globules  should  be  placed  dry  on  the 
tongue.  For  infants,  one  globule  will  be  amply  sufficient  for  a  dose  ; 
if  the  tongue  is  dry  add  a  few  drops  of  water ;  even  new-born  infants 
are  able  to  swallow  that. 

Where  repeated  doses  of  the  medicine  at  short  intervals  are  required, 
the  appropriate  remedies  should  be  administered  in  solution  in  water. 
For  this  pui'pose  take  a  clean  tumbler  which  has  contained  nothing 
but  milk  or  water,  else  you  must  rinse  it  first  with  cold  and  afterwards 
with  hot  water,  dry  and  heat  it  on  a  stove  as  much  as  the  glass  will 
bear,  and  then  suffer  it  1:o  cool.  Half  fill  it  with  water,  as  pure  as 
you  can  get  it,  put  six  or  eight  globules — or  if  a  trituration,  as 
much  as  will  lie  upon  the  point  of  a  penknife — of  the  medicine  into 
the  water,  and  mix  it  thoroughly  ])y  repeatedly  pouring  it  from  one 
tumbler  into  another,  or  if  yon  have  only  one  tumbler,  by  means 
of  a  clean  spoon.  Keep  the  tumbler  containing  the  medicine,  well 
covered  with  a  saucer  or  piece  of  paper,  in  a  cool  place,  free  of  odors 
of  any  kind. 

When  thus  prepared,  a  tablespoonful  to  adults,  or  a  teaspoonful  to 
children  may  be  given  at  a  time.  In  violent  cases  the  medicine  may 
be  repeated  every  one,  two  or  three  hours ;  but  in  chronic  complaints 
or  those  of  long  standing,  not  oftener  than  once  or  twice  a-day. 


I 


INTRODUCTION  XXIIl 

After  the  first  dose  of  every  medicine,  you  should  watch  closely  if, 
and  what  changes  take  place  in  the  patient.  In  very  dangerous  and 
painful  cases,  wait  ten  to  thirty  minutes  ;  in  other  bad  complaints,  one 
to  two  hours  ;  and  in  chronic  cases  one  to  two  days.  It  is  then  either 
better,  worse,  or  the  same.  If  better,  give  nothing  more  as  long  as 
the  improvement  lasts.  If  a  sudden  improvement  ceases  as  suddenly, 
and  the  case  gets  worse,  give  another  dose;  this  second  dose  may  in 
some  cases  be  followed  at  first  by  an  increase  of  the  complaint,  but  in 
a  short  time  by  a  more  decided  and  lasting  improvement. 

If  a  complaint  had  got  better  from  a  remedy  given  for  its  cause,  but 
the  same  cause  has  occasioned  the  same  trouble  again,  give  another 
suitable  remedy.  For  instance,  if  the  bad  consequences  of  a  fright 
had  been  removed  by  Opium,  but  a  new  fright  had  caused  the  same 
symptoms,  give  Aconitum.  If  you  had  taken  Bryonia  for  the  conse- 
quences of  having  taken  cold,  and  had  been  relieved  by  it,  but  a  fresh 
cold  makes  you  worse  again,  take  Aconitum. 

When  the  patient,  after  having  taken  the  medicine  once,  or  oftener, 
begins  to  feel  better,  however  little,  he  should  discontinue  it,  lest  the 
healthful  progress  of  the  cure  be  interfered  with  by  taking  too 
much ;  but  as  soon  as  the  iniprovement  ceases  the  same  medicine 
should  be  taken  again ;  or  in  case  the  symptoms  have  altered,  another 
more  appropriate  one. 

If  the  patient  is  worse  after  the  first  or  second  dose,  the  symptoms 
are  either  the  same,  but  worse,  or  there  are  new  symptoms  instead,  or 
in  addition  to  the  former  ones.  If  the  latter  case,  give  another 
remedy,  but  if  the  former,  when  the  medicine  aggravates  the  symp- 
toms, and  makes  the  patient  temporarily  worse,  which  is,  nevertheless, 
a  good  sign,  the  patient  should  cea^^e  taking  it,  and  ivait  for  the  effects. 
Should  the  aggravation  be  violent,  it  may  be  relieved  by  smelling 
camphor,  or  sweet  spirits  of  nitre. 

It  happens  sometimes,  that  the  most  violent  pains  are  increased 
very  much  by  the  smallest  dose  of  the  suitable  remedy ;  in  such  cases 
give  a  spoonful  of  black  coffee,  and  as  soon  as  the  aggravation  has 
ceased,  repeat  the  remedy,  if  made  worse  again,  repeat  the  coffee,  and  so 
on  until  the  improvement  is  permanent.  A^horaoeopathic  physician  of 
the  right  stamp,  a  great  master,  wrote  to  the  author,  that  he  has  given 
in  this  way  with  the  greatest  success,  Colocynthis  and  coffee  for  colic  ; 
Pulsatilla  and  Coffea  for  rheumatic  pains  in  the  limbs  ;  and  Mercurius 


XXIV         REGIMEN   DURING   HOMCBOPATHIC  TREATMENT. 

and  coffee  for  faceache;  in  the  last  case  the  cure  was  complete  and 
permanent  only  after  the  fifteenth  dose. 

In  very  tedious  cases,  when  the  right  remedy  had  been  chosen  and 
given  in  but  one  dose,  and  when  the  patient,  after  a  short  aggravation 
of  tRe  symptoms,  commenced  to  grow  better,  he  will  sometimes,  in  a 
few  days  or  a  week  get  worse  again  ;  he  who  can  now  wait,  and  givea 
nothing  more,  will  witness  most  remarkable  cures,  which  will  be  the 
more  permanent  and  complete,  the  less  they  were  interfered  with. 

If  the  beneficial  effects  of  the  medicine  is  interrupted,  or  ceases 
entirely,  and  the  patient  grows  worse  in  consequence  of  taking  cold, 
eating  improper  food,  &c.,  he  should  take  a  medicine  to  counteract 
the  cause  which  occasioned  this  interruption,  and  then  again  the 
medicine  which  he  had  previously  taken. 

With  regard  to  the  external  application  of  the  Tinctures  of  Arnica, 
Ruta,  &c.,  a  lotion  of  sufficient  strength  for  most  purposes  may  be 
made  by  putting  five  or  six  drops  of  the  tincture  in  half  a  tumbler  of 
water  It  may  be  applied  to  the  injured  part  three  or  four  times 
a-day,  or  as  often  as  mentioned  under  each  particular  case. 

While  taking  homoeopathic  medicines,  strict  attention  should  be 
paid  to  the  following  rules  of  diet. 

Regimen  of  the  Sick  during  Homoeopathic 
Treatment. 

The  general  rule  to  be  observed  is,  that  patients  should  partake  of 
light,  digestible,  nourishing  food  to  satisfy  hunger ;  and  of  such  drink 
as  nature  requires  to  allay  thirst ;  and  abstain  from  everything  of  a 
medicinal  or  injurious  nature. 

In  acute  or  febrile  diseases,  only  the  lightest  and  most  simple  kinds 
of  nutriment  are  proper,  viz.  : 

Pure  cold  water  in  preference  to  all  other  drinks ;  or  water  with 
the  addition  of  some  sugar,  raspberry  or  strawberry  syrups,  or  quince 
and  apple-jelly  prepared  without  spices.  Barley-water,  rice-water, 
thin  oatmeal  gruel,  panada,  gum  Arabic  water,  whey,  milk  and  water, 
preparations  of  arrow-root,  sago,  tapioca,  semolina,  or  tous-les-mois, 
all  without  any  other  seasoning  than  a  little  salt  or  loaf  sugar,  or  one 
of  the  syrups  above-mentioned. 

Toast-icater ;  the  toast  should  be  made  from  stale  bread,  either 
home-made  or  from  bakers  who  make  use  of  neither  potash,  soda,  or 


INTRODUCTION.  XX"V 

alum  ;  the  slices  ought  to  be  thin  and  thoroughly  toasted,  but  not  too 
brown,  and  never  black.  To  make  a  good  toast-water,  pour  boiling 
wflXQV  on  the  toast  while  hot  and  let  it  stand. 

Ice-icnfer  is  often  injurious  and  increases  the  thirst.  The  water, 
after  being  filtered  if  impure,  should  be  cooled  if  possible  without 
putting  the  ice  in  it.  Put  the  vessel,  containing  the  water  to  be 
cooled,  into  another  larger  vessel,  a  wooden  one  is  preferable,  which 
contains  pieces  of  ice,  and  let  it  remain  till  sufficiently  cold.  If  this 
cannot  be  conveniently  done,  put  a  lump  of  ice  in  the  water  and  take 
it  out  again  as  soon  as  the  water  is  sufficiently  cooled. 

Most  kinds  of  ripe,  succulent  fruits,  possessing  little  or  no  acidity, 
fresh  or  prepared  by  cooking,  and  eaten  in  moderate  quantities  :  as 
ripe  grapes,  sweet  apples,  pears,  peaches,  raspberries. 

Some  kinds  of  dried  fruits  :  as  apples,  quinces,  peaches,  cherries, 
prunes,  dates,  figs,  &c. 

All  imported  dried  fruits,  raisins,  figs,  &c.,  ought  to  be  well 
washed  before  they  are  used,  first  in  cold  and  afterwards  in  hot  water. 

Sweet  oranges  when  well  ripened  are  allowed,  but  all  decayed, 
spotted,  and  sour  ones,  ought  to  be  avoided. 

With  regard  to  apricots,  nectarines,  plums,  gages,  watermelons,  and 
cherries,  the  physician  should  be  consulted. 

No  fruit  whatever  should  be  used  in  cases  of  colic,  diarrhoea,  dysen- 
tery, cholera,  and  in  croup,  not  even  in  convalescence. 

When  the  more  violent  symptoms  of  acute  disease  have  subsided, 
and  the  appetite  calls  for  more  substa-'tial  food,  a  wider  range  may 
be  gradually  taken  in  the  choice  of  aliment,  and  all  the  articles  used 
which  are  allowed  in  chronic  or  long-continued  diseases,  viz.  : 

All  kinds  of  light  and  not  too  fresh  bread,  and  plain  biscuit  con- 
taining no  potash,  soda,  alum  or  other  similar  ingredients ;  cakes 
made  of  meal,  eggs,  sugar,  and  a  little  butter ;  arrow-root,  rice  and 
other  cakes  not  raised  with  fermenting  powders  ;  light  puddings  and 
dumplings  of  wheat,  rye,  Indian  meal,  rice,  tapioca,  sago,  oatmeal  or 
bread,  without  wines,  spices,  or  rich  sauces  ;  hominy,  rice,  groats  and 
pearl  barley  boiled  with  water,  milk,  or  soup. 

Potatoes,  turnips,  carrots,  beets,  salsify,  artichokes,  spinach,  cab- 
bage, cauliflower,  green  peas,  or  beans,  the  green  pods  of  scarlet  and 
French  beans ;  and  in  some  cases  also,  asparagus,  mushrooms,  dried 
peas,  beans,  lentils,  millet,  haricot-beans,  &c. 


XXVI  REGIMEN    DURING   HOMCEOPATHIC   TREATMENT. 

Milk,  raw  or  boiled,  fresh  buttermilk,  whey,  milk  posset ;  but  care 
should  be  taken  not  to  use  milk  from  unhealthy  cows. 

Ice-creams  with  the  syrup  of  strawberries  and  that  of  other  allowed 
fruits,  and  not  flavored  with  aromatics  nor  colored  with  cochineal  or 
other  injurious  drugs. 

Pure,  plain  chocolate  or  cocoa,  and  in  some  cases  weak  black  tea. 

Butter,  free  from  any  rancid  or  unusual  taste,  cream,  mild  fresh 
cheese,  milk  cheese,  curds,  and  other  simple  preparations  of  milk ; 
plain  custards,  pure  sweet  olive  oil. 

Raw  or  boiled  eggs  and  egg-tea,  except  in  diarrhoea. 

Soups  and  broths  of  animal  and  vegetable  substances  otherwise 
allowed,  seasoned  with  a  little  salt  only  ;  beef  tea,*  mutton  broth,  and 
chicken  water,  after  having  been  boiled  for  at  least  half  an  hour. 

Beef,  mutton,  all  kinds  of  tongues,  venison  and  wild  game,  the  lean 
part  of  ham,  pigeons,  chickens  and  turkeys  ;  the  latter  only  in  the 
winter  season  and  not  in  all  cases. 

Cod,  haddock,  whiting,  sole,  turbot,  trout,  pike,  perch,  carp, 
mackerel,  herrings.  Salt  fish  may  be  taken  after  having  been  well 
soaked  in  cold  water  before  it  is  used. 

Oysters,  raw,  roasted  in  the  shell,  or  boiled  in  soup. 

Salt,  and  also  sugar  or  molasses,  may  be  used,  but  always  with 
great  moderation. 

Should  any  of  the  allowed  articles  of  diet  disagree  with  the  patient, 
on  account  of  some  constitutional  peculiarity,  or  the  nature  of  the 
disease,  they  should  be  avoided  by  him,  though  they  may  be  perfectly 
wholesome  for  others. 

The  patient  should  not  overload  his  stomach,  nor  oppress  it  with 
various  or  incongruous  dishes.  The  demands  of  the  appetite  for 
solids  are  to  be  satisfied  at  stated  and  not  too  frequent  periods,  and  at 
no  other  time. 

Regularity  in  the  time  of  eating  is  of  great  importance. 

The  diet  of  children  at  the  breast  should  not  be  changed  during 
their  sickness  ;  but  in  such  cases  that  of  the  mother  should  be  regulated 
according  to  the  preceding  rules. 


*  In  order  to  make  the  best  beef-tea,  the  beef  should  be  cut  up  into  small  pieces  the 
jize  ol  dice  and  allowed  to  soak  in  the  cold  water  for  at  least  twelve  hours  before  it  is 
boiled      See  page  ■  62. 


INTRODUCTION.  XXVIl 

ARTICLES  FORBIDDEN, 

Unless  esjoecially  alloxoed  by  (he  Physician. 

The  flesh  of  all  young  animals,  and  particularly  veal ;  geese,  tame 
ducks  ;  the  liver,  lungs  or  tripe  of  animals  ;  turtles,  eels,  crabs,  old 
smoked  or  salt  meat,  sausages,  mince  pies,  rancid  butter,  strong  oi 
decayed  cheese,  lard,  fat  pork,  roast  pig,  fried  and  pickled  oysters. 

Food  prepared  from  blood,  and  much  animal  fat. 

All  highly  seasoned  soups,  sauces,  pepperpot. 

Cakes  prepared  with  much  butter  or  with  aromatics ;  pastry,  pies ; 
honey,  and  all  kinds  of  colored  confectionary ;  all  kinds  of  candies, 
excepting  rock  and  barley  sugar. 

All  kinds  of  nuts,  and  fruits  not  mentioned  amongst  the  allowed 
articles. 

Vinegar  of  all  kinds,  salads  or  cucumbers  prepared  with  it;  iDickles 
prepared  with  spices  or  greened  with  copper  ;  parsnips,  parsley,  celery, 
radishes,  horse-radish,  garlic,  onions ;  all  kinds  of  pepper,  catsups, 
mustard,  saffron,  nutmeg,  ginger,  lemon  or  orange  peel,  vanilla,  laurel 
leaves,  bitter  almonds,  peach  kernels  or  peach  leaves,  cloves,  cinnamon, 
allspice,  fennel,  aniseed,  sage,  thyme,  mint,  &c. 

All  kinds  of  distilled  and  fermented  liquors  ;  coffee  and  green  tea ; 
lemonade  and  drinks  prepared  with  acids. 

All  natural  and  artificial  mineral  waters. 

Colored  toys,  if  the  colors  are  not  fixed,  are  on  all  occasions  to  be 
withheld  from  children,  also  vulcanised  gum  elastic  toys. 

All  perfumery,  particularly  musk,  hartshorn,  camphor,  paccioli,  Eau 
de  Cologne,  Eau  de  Luce,  or  other  aromatic  waters,  strong  smelling 
flowers,  cosmetics  and  scented  or  medicated  tooth-powder  must  be 
avoided. 

Tobacco,  if  used  at  all,  should  be  used  very  moderately. 

Every  medicine,  excepting  those  prescribed  by  the  physician,  ought 
to  be  avoided  ;  not  only  all  medicines  procured  at  the  shops,  and  all 
such  as  are  empirical,  but  every  description  of  domestic  medicines,  as 


XXVIII      REGIMEN  DURING  HOMCEOPATHIC  TREATMENT. 

all  manner  of  herb  teas,  syrups,  medicated  poultices  and  irritating  ^r 
medicinal  substances  applied  to  the  skin. 

Blood-letting  by  the  lancet,  or  by  leeches  and  cups,  and  laxative 
injections,  except  of  those  of  cold  or  lukewarm  water,  are  likewise 
forbidden. 

Hot  baths  are  to  be  strictly  avoided,  especially  baths  impregnated 
with  herbs,  sulphur,  and  other  medicaments.  Tepid  or  cold  sponging 
baths,  or  rubbing  with  a  wet  towel,  may  be  used,  by  most  patients 
daily.  For  other  employments  of  cold  water  the  advice  of  an  expe- 
rienced physician  must  be  sought. 

Linen,  cotton,  silk  or  leather,  worn  next  the  skin  is  preferable  to 
flannels,  excepting  for  persons  much  exposed  to  the  weather,  or  for 
little  children. 

The  patient  should,  if  possible,  use  moderate  exercise,  in  the  open 
air  for  an  hour  or  more  daily ;  and  his  chamber  should  be  well  venti- 
lated every  day. 

Rooms,  papered  with  yellow  paper,  or  stained  or  painted  yellow, 
and  yellow  transparent  window-shades  or  curtains  should  be  avoided, 
the  best  color  for  the  walls  of  a  sick  room  is  a  light  rose-color,  pai'ticu- 
larly  alternate  stripes  of  white  and  light  rose-color.  The  transparent 
window-shades  should  be  of  a  grayish  or  light  blue  tint. 

Physical  labor,  which  gives  the  mind  the  proper  direction  to  use- 
fulness, while  it  exercises  the  body,  should  be  daily  used  in  chronic  dis- 
eases as  far  as  the  strength  will  allow  of  it. 

Homoeopathic  medicines  should  not  be  taken  too  soon  after  eating ; 
and  for  abeut  an  hour  after  taking  them  the  patient  had  better  abstain 
from  eating  or  the  use  of  tobacco,  and,  if  possible,  from  much  mental 
or  bodily  exertion. 


INSTRUCTIONS  FOR  PATIENTS 

HO^'    TO    COMMUNICATE    THEIR    CASES    TO    A 
PHYSICIAN    BY    LETTER. 


The  patient  should  first  describe  his  complaint  in  his  own  way,  aa 
though  these  instructions  were  not  before  him,  viz :  their  commencement, 
progress  and  presumptive  causes.  The  age  and  sex  of  the  patient,  and 
whether  he  be  married  or  single,  should  of  course  be  communicated  to 
the  physician,  if  these  circumstances  be  not  already  known.  It  would 
be  well  to  mention  whether  the  patient  is  of  a  large  or  diminutive 
frame  of  body,  meagre  or  stout,  feeble  or  robust.  Whether  he  is  easy 
to  take  cold,  and  very  susceptible  to  other  external  impressions.  Is 
the  complexion  florid,  or  pale,  or  dark  ?  What  is  the  color  and  condi- 
tion of  the  hair,  and  the  color  of  the  eyes  ?  Concomitant  bodily 
infirmities,  as  hernia  or  rupture,  prolapsus  uteri,  curvature  of  the 
spine,  lameness,  &c.,  should  be  made  known.  Is  the  disposition  of 
the  patient  mild  and  placable,  or  boisterous  and  violent  ?  firm  or 
yielding,  lively  and  commnnicative.  or  reserved  and  taciturn;  anxious, 
apprehensive,  or  timorous,  or  irritable,  &c.  ?  Are  his  mental  emo- 
tions of  long  continuance,  or  are  they  very  transient  ? 

The  patient  is  next  required  to  give  an  accurate  and  particular  de- 
scri})tion  of  the  incidents  or  symptoms  of  his  disease,  such  as  pains  and 
other  morbid  sensations.  He  should  describe  precisely  the  region  or 
part,  and  on  which  side  of  the  body  they  are  seated,  and  how  large  is 
the  space  they  occupy.  Whether  the  pains  are  obtuse,  and  may  be 
denominated  dull  or  pressing,  or  whether  they  are  sticking  or  piercing, 
rending,  throbbing,  perforating,  pulling  or  drawing,  pinching,  snatch- 
ing, gnawing,  cutting,  griping,  burning,  obtusely  prickling  or  crawling, 
itching,  tickling,  numb  or  as  if  the  part  were  asleep,  as  if  from  a  sprain 

(xxix) 


XXX  INSTRUCTIONS   FOR   PJiTIENTS, 

or  contusion,  or  whether  they  consist  of  several  of  these  sensations 
combined,  or  may  be  more  accurately  represented  by  other  terms. — 
Are  the  symptoms  continued,  or  do  they  remit  or  vary  in  intensity  from 
time  to  time  ?  Do  they  recur  at  particular  times  of  day,  or  at  certain 
intervals  of  one  or  more  days  ?  Is  their  recurrence,  aggravation, 
diminution  or  cessation  connected  with  the  exercise  of  any  bodily 
function  ?  Do  they  arise  or  disappear,  are  they  increased  or  dimin- 
ished by  exercise,  or  during  rest,  by  lying  down,  or  sitting,  by  stretch- 
ing out,  or  bending  up  the  body,  by  walking,  by  standing,  by  warmth 
or  cold,  in  the  open  air  or  within  doors,  by  light,  by  noises,  by  talking, 
by  eating,  by  drinking  or  swallowing  soon  after  eating,  by  the  motion 
of  the  affected  part  or  by  touching  or  pressing  it,  by  mental  emotion 
— fright,  anger,  during  bodily  or  mental  exercise,  reading,  &c.,  &c. — 
Are  the  symptoms  associated  with  anxiety  greater  or  less  ?  do  they 
ijnpair  the  powers  of  thought  or  recollection,  or  the  due  exercise  of 
the  senses  ?  (seeing,  hearing,  &c.) — Are  the  motions  or  functions  of 
the  affected  part  in  any  way  impaired  or  disabled  ?  or  is  the  local 
disease  associated  with  complaints  in  other  parts,  and  with  what?  does 
it  alternate  with  other  complaints  ?  Is  the  affected  part  red  or  swollen  ? 
Is  the  swelling  hard  or  soft  or  painful  to  the  touch,  and  does  it  leave 
an  indentation  after  pressure  with  the  finger  ? 

During  the  sufferings  of  individual  parts  or  functions  of  the  body, 
(even  when  these  functions  are  not  the  principal  ones)  further  infor- 
mation is  to  be  given  respecting  the  state  of  the  patient's  mind  ; 
whether  he  suffers  patiently,  or  is  inclined  to  weep,  to  be  morose, 
passionate,  despairing,  greatly  anxious  or  fearful,  &c.,  or  whether  the 
mind  is  remarkably  affected  in  these  respects  by  the  disease.  Are  the 
intellectual  functions,  power  of  thought,  memory  or  desire  or  ability 
for  mental  or  bodily  exercise  weakened  ? — Aberrations  of  mind, 
morbid  affections  of  the  moral  and  intellectuarfaculties  are  to  be  de- 
scribed by  the  narrators  strictly  as  they  are  manifested  by  the  patient's 
words  or  conduct. 

Is  there  dizziness,  or  "  a  dull,  heavy  sensation"  of  the  head. — Disor- 
ders of  sight  ?  Does  the  patient  see  objects  indistinctly  as  through  a 
veil  or  mist  ?  Does  he  see  dark  specks  floating  before  the  eyes,  or 
sparks,  or  false  colors  ?  Do  objects  appear  double  or  quivering  ?  Is 
the  patient  short — or  long-sighted  ?  Is  the  pupil  contracted,  dilated  or 
very  changeable  ?     Are  the  eyes  watery,  red,  inflamed,  averse  to  the 


HOW   TO   COMMUNICATE   WITH   PHYSICIANS.  XXXI 

light?  Do  the  ey«-lids  frequently  adhere  together?  Do  they  open 
and  close  properly  ?  Are  they  affected  by  convulsive  motions  or 
twitchings,  oi  beset  with  sties  ?     Are  there  specks  upon  the  cornea  ? 

Disorders  of  hearing  :  Is  there  a  roaring,  whizzing,  or  ringing  noise 
in  the  ears  ?  Is  the  ear-wax  dry  or  fluid,  oozing  from,  the  ears,  or 
foetid  ? 

Are  the  nostrils  obstructed  ?  Is  there  a  cold  in  the  head  with  or 
without  a  discharge  from  the  nose?  Sneezing?  Sense  of  smell? 
Soreness  and  rawness  of  the  nostrils,  or  a  bad  smell  from  them  ?  Bleed- 
ing at  the  nose  ? 

Are  the  teeth  incrusted  with  tartar,  loose,  decayed,  and  have  any 
fallen  out  or  been  extracted  ?  Are  the  gums  pale  or  red,  hard  or 
soft,  spongy,  swollen,  apt  to  bleed,  or  retracted  from  the  neck  of  the 
teeth  ? 

Is  there  a  dryness  of  the  mouth  ?  Or  excessive  flow  of  saliva  ?  Is 
the  saliva  viscid,  slimy,  foetid,  bloody  ?  Is  the  surface  of  the  tongue, 
tonsils,  uvula,  palate,  fauces  or  lips  affected  with  blisters,  swellings,  or 
ulcers,  or  covered  with  mucus  ?  Is  the  tongue  dry  or  moist,  acutely 
sensible,  chapt,  sore  or  raw,  clean  or  covered  with  fur  (white  or 
yellow)"? — Are  the  functions  of  speech,  chewing,  or  motion  of  the 
tongue  unembarrassed  ?  Is  swallowing  performed  without  difficulty  ? 
(Is  the  swallowing  of  fluids  or  solids  or  of  the  spittle  attended  by  no 
inconvenience  ?)  Has  the  patient  a  bad  breath?  Is  the  taste  natural 
or  absent,  slimy,  salt,  bitter,  sour,  foul  ? — Have  the  different  articles 
of  food  their  proper  taste,  or  are  they  insipid,  slimy,  bitter,  sour,  salt, 
&c.? — How  is  the  appetite  and  thirst?  What  articles  of  food  or 
drink  are  preferred  ?  What  complaints  arise  after  eating  and  drinking  ? 
Is  the  patient  troubled  with  frequent  belching  of  wind,  with  or  with- 
out taste, — or  does  it  taste  of  the  food  just  eaten,  or  of  what  ?  Is 
there  regurgitation  of  fluids  from  the  stomach,  or  a  confluence  of  saliva 
in  the  mouth  ?  and  of  what  taste  in  either  case  ?  Is  there  vomiting  of 
water,  saliva,  or  mucus,  of  an  acrimonious,  acrid  or  bitter  taste,  or  of  a 
putrid  taste  and  smell,  or  of  a  yellow,  green  or  bloody  aspect  ?  Does 
the  patient  vomit  coagulated  blood,  or  food  ?  Is  the.  e  sickness  or 
nausea  ?  Is  the  abdomen  tense,  full,  hard,  or  empty  and  retracted  ? 
In  the  case  of  pains  or  other  complaints  in  the  abdomen,  the  particular 
region  in  which  they  are  seated  should  be  accurately  defined  (for  ex- 
ample :  pit  of  the  stomach,  region  of  the  navel,  immediately  below 


XXXII  INSTRUCTIONS   FOR   PATIENTS, 

the  ribs,  in  which  side,  &c.).  Is  the  patient  troubled  with  flatulency? 
Is  there  frequent  rolling  and  rumbling  in  the  bowels  ?  Does  the  wind 
readily  escape,  or  is  it  retained,  and  what  are  the  complaints  which  it 
seems  to  give  rise  to  ?  Are  the  evacuations  from  the  bowels  effected 
with  ease  or  difficulty?  How  frequent  are  they  ?  what  is  their  con- 
sistence ?  are  they  faecal  or  slimy,  or  bloody,  &c.  ?  What  is  their 
color  ?  Are  there  any  complaints  immediately  preceding,  during  or 
following  a  stool  ?  Are  there  any  large  or  small  worms  discharged  ? 
Are  there  abrasions  or  sore  places,  warts,  or  piles  in  the  rectum  or 
anus,  and  do  the  latter  sometimes  protrude  or  bleed?  What  com- 
plaints arise  before,  or  during,  or  after  the  urinary  discharge  ?  And  is 
the  discharge  sparing  or  copious  ?  What  is  the  aspect  of  the  urine  ? 
(is  it  clear,  liigh-colored,  or  turbid  ?)  Does  it  soon  change  after  evac- 
uation and  deposit  mucus  or  sand,  or  a  white,  or  red  sediment  ?  Does 
it  contain  blood,  pus,  or  gravel  ? 

Men  are  to  give  every  information  in  relation  to  the  sexual  functions 
and  the  genital  organs.    Are  there  any  discharges,  what,  and  when  ?  &c 

lemales  should  relate  every  circumstance  in  relation  to  menstruation. 
At  what  age  did  it  first  appear?  And  have  they  been  regular  ever 
since  ?  How  are  the  periods  now  ;  are  they  regular,  too  frequent  or  is 
the  interval  too  long  Too  copious  or  sparing  ?  How  long  did  they 
continue  while  the  patient  was  in  health  and  how  long  since  sh^  be- 
came diseased  ?  What  complaints  jjrecede,  exist  with  or  follow  men- 
struation ?  What  influence  upon  the  discharge  has  motion  or  rest, 
&c.  ?  Is  the  discharge  red,  dark,  clotted,  foetid  ? — Is  the  patient 
troubled  with  the  whites  ?  and  how  long  ?  Constantly,  or  before  or 
after  menstruation  ?  bland  or  acrimonious  ?  watery  or  thick  ?  white, 
yellow,  or  greenish  ?  foetid  ? — Has  she  ever  had  the  green  sickness,  or 
uterine  diseases,  and  in  what  did  they  consist  ?  Finally  intimations 
concerning  sexual  desire,  and  its  influence  upon  the  health  are  desirable 
for  the  physician. 

When  the  patient  is  or  has  been  married  :  Has  she  had  children,  and 
has  she  often  conceived  ? — Has  she  ever  had  a  miscarriage,  and  how 
often  ?  How  was  it  occasioned  and  what  were  the  accompanying 
symptoms,  (for  example  :  great  loss  of  blood)  ? — What  complaints 
were  there  during  pregnancy  ? — What  were  the  incidents  during  labor 
and  child-bed  ?  Were  injuries,  hremorrhage,  or  diseases  attendant  ? 
or  are  any  complaints  remaining  therefrom  ? — Did  the  patient  nurso 


HOW   TO    COMMUNICATE   WITH    PHYSICIANS.  XXXIIl 

her  children  at  the  breast?  And  was  the  nursing  attended  or  followed 
by  any  complaint  ? — Has  she  suffered  with  sore  nipples,  or  inflamed 
breasts  ?  And  from  this  cause  or  others,  has  she  indurations  of  the 
breasts  ? 

At  what  age  did  menstruation  cease  ?  and  with  what  complaints 
was  the  cessation  accompanied  ?  or  with  what  effect  on  the  hea  th  ? 

Is  the  breathing  short,  or  otherwise  oppressed  ?  Can  the  patient 
ascend  a  height  ?  Is  the  breathing  asthmatic,  wheezing  or  rattling  ? 
Does  the  patient  make  any  comjjlaint  on  drawing  a  deep  breath  ? 
How  is  the  voice,  rough,  hoarse,  hollow,  &c  ?  Is  there  a  cough  ?  is 
it  slight  and  short,  or  hard  and  difficult  ?  does  it  seem  to  come  deep 
from  the  breast  ?  do  the  paroxysms  of  coughing  last  long,  and  are  they 
attended  by  swelling  of  the  face  and  loss  of  breath  ?  How  does  the 
cough  sound  ?  Is  it  dry,  or  followed  by  expectoration  ?  Is  expecto- 
ration easy  or  difficult,  sparing  or  copious,  raucous,  purulent,  resem- 
bling saliva,  bloody,  (interspersed  or  tinged  with  blood,  and  of  a  bright, 
or  dark  color,  or  is  it  pure  blood  ?)  white,  yellow,  green,  ash-colored, 
&c.  ?  Does  it  taste  salt,  sweet,  bitter,  or  what  taste  has  it  ?  Is  there 
a  superabundance  of  mucus  in  the  larynx  or  trachea,  or  does  it  seem 
to  lie  deep  in  the  breast  ?  In  what  part  of  the  organs  of  respiration 
is  seated  the  irritation  to  cough  ?  and  from  whence  proceeds  the 
matter  expectorated  ?  Is  there  palpitation  of  the  heart?  or  throbbing 
in  other  parts  of  the  body  ?  Docs  the  patient  suffer  from  transient 
flushes  of  heat  ?  He  can  perhaps  describe  the  condition  of  the  pulse. 
Are  the  glands  under  the  ear,  under  the  jaw,  in  the  arm-pits,  on  the 
head,  in  the  groins,  swollen  or  suppurated  ?  Is  the  patient  afflicted 
with  goitre,  or  an  enlargement  of  the  gland  over  the  wind  pipe. 

Are  there  swellings  of  the  bones  or  joints,  are  there  tubercles  or 
swellings,  or  swollen  or  knotted  veins  ?  Are  there  any  parts  red, 
swollen,  and  painful  ?  Are  the  hands  or  feet  swollen  ?  Is  there 
lameness  of  one  or  more  of  the  limbs  ?  Are  there  cramps  or  spasms, 
tremor,  twitching  or  starting,  stupor  or  falling  asleep,  or  other  morbid 
sensations  in  any  of  the  limbs  ?  Is  the  skin  pallid,  yellow,  &c.  ?  la 
ii  dry  or  inclined  to  sweat,  or  otherwise  in  an  unhealthy  condition  ? 

Is  there  itching  of  the  skin  (tickling,  slight  prickling,  or  a  sensation 
of  biting,  burning,  crawling,  strcking?)  is  it  relieved  by  scratching,  or 
is  the  sensation  thereby  only  changed  for  another  ?  The  presence  iu 
the  skin  of  wheals,  swellings,  boils,  chilblains  and  corns  is  to  be  men- 

C 


XXXIV  INSTRUCTIONS   FOR   PATIENTS. 

tioned,  and  the  attendant  sensations  described.  Also  cutaneous  erup- 
tions, as  miliary  eruptions  or  rashes,  spots,  pimples,  vesicles  and 
pustules  are  to  be  described,  viz  :  their  seat,  color,  abundance,  size ; 
whether  filled  with  water  or  pus,  whether  covered  with  scabs  or  crusts, 
and  their  duration.  Also,  tetter,  scaliness,  scald,  brown  and  blue 
spots,  moles,  freckles,  cracks  or  fissures  of  the  skin,  blisters  with 
corrosive  discharges,  ulceration  at  the  angles  of  the  mouth,  warts, 
swellings  of  the  bones,  chafing  of  the  skin,  malformation  of  the  nails, 
falling  out  of  the  hair,  scales  or  scabs  on  the  head.  When  there  are  ulcers, 
whether  they  are  inflamed,  or  overgrown  with  what  is  called  proud 
flesh,  whether  their  margins  are  elevated,  whether  they  easily  bleed,  or 
their  bottom  looks  red,  black,  or  as  if  containing  a  fatty  substance  ; 
whether  the  matter  issuing  from  them  is  copious,  thin,  thick,  bloody, 
white,  yellow,  black,  acrimonious,  foetid. 

Is  there  chilliness,  or  a  feeling  of  heat  ?  Chilliness,  heat,  or  sweat 
of  particular  parts  ? — Sweating  of  the  feet,  whether  warm,  cold  or 
foetid  ?  When  the  patient  has  fever,  does  the  paroxysms  consist  of  a 
cold,  hot  and  sweating  stage  ?  Do  they  alternate  with  or  succeed 
each  other  ?  What  is  the  order  of  their  succession  ?  With  what  in- 
tensity, and  how  long  does  each  continue  ?  Are  they  general,  or  do 
they  affect  particular  parts  only  ?  with  or  without  thirst  ?  with  pale- 
ness or  redness  of  the  face  and  skin  ?  Are  there  other  symptoms  ac- 
companying the  paroxysm  of  fever  (cold,  hot  and  sweating  stage)? 

Particular  paroxysms  of  disease,  as  swooning,  cramps,  epilepsy, 
spasms  of  the  stomach,  asthma,  &c.,  are  to  be  accurately  described  in 
their  commencement,  course  and  termination.  Whether  they  are 
changed,  aggravated  or  relieved  at  certain  hours  of  the  day,  during 
the  performance  of  any  bodily  function,  or  by  certain  postures  of  the 
body. 

Does  the  patient  sleep  long,  or  is  he  restless,  and  is  the  sleep  inter- 
rupted by  frequent  waking  or  startings?  Does  he  talk  or  moanm  his 
sleep,  or  has  he  the  night-mare  ?  Is  the  sleep  disturbed  by  anxious 
dreams,  and  of  what  character  ?  In  what  posture  does  the  patient  lie 
during  sleep  ?  Is  he  accustomed  to  sleep  with  his  mouth  open  ?  How 
is  his  strength  ?  Is  he  obliged  to  lie  down,  or  can  he  remain  up  ? 
Does  he  feel  languid,  weary,  or  sluggish,  &c.  ?     Is  he  emaciated  ? 

The  patient  should  relate  his  previous  diseases, — particular  cuta- 
neous diseases, — itch,  eruptions  of  the  head,  tetter,  erysipelas,  small- 


HOW   TO   COMMUNICATE   WITH   PHYSICIANS.  XXXV 

pox,  measles,  pimples  on  the  face  or  any  itching  eruption  of  the  skin. 
— Also,  whether  he  has  had  scrofula  (glandular  swellings)  rickets,  gout, 
rheumatism,  piles,  difficult  dentition,  worms,  cramps,  epilepsy  (convul* 
sions),  hooping-cough,  inflammation  of  the  lungs,  or  other  inflamma- 
tions, intermittent  or  remittent  fever,  jaundice,  hsemorrhages,  diseases 
of  the  teeth,  apoplexy  and  palsy,  sweating  of  the  feet,  ulcers,  or  other 
diseases.  He  relates  how  long  he  labored  under  either  of  these  affec- 
tions, how  long  he  was  under  treatment  for  them,  what  were  the 
remedies  employed,  and  what  he  has  used  for  the  existing  disease. 
Has  he  resorted  to  medicated  baths,  herb  teas  of  any  kind,  blood- 
letting, emetics  or  cathartics,  teas  "  for  purifying  the  blood,"  valei'ian 
tea,  "strengthening  medicines,"  Peruvian  bark,  &c.  And  is  he  accus- 
tomed to  the  use  of  either  of  these  remedies  ?  Is  he  in  the  habitual 
use  of  distilled  or  fermented  liquors,  coffee,  tea,  much  fat  victuals,  acid, 
or  high-seasoned  food  ? — Does  he  partake  of  much  food,  and  what  ? — 
His  manner  of  living  should  be  described,  and  whether  he  is  accus- 
tomed to  the  use  of  woolen  clothing,  and  whether  his  habitation  is  in 
a  wholesome  condition. — "When  passions  or  emotions  of  the  mind  re- 
tard recovery,  or  have  caused  and  sustained  the  disease,  he  should  not 
conceal  these  circumstances  from  the  physician.  For  example :  disap- 
pointed love,  blighted  hopes,  grief,  domestic  unhappiuess,  want. 
Neither  should  he  conceal  the  fact  of  former  habits  of  licentiousness, 
if  any  such  have  existed,  and  whioh  may  have  centributed  to  his 
disease.  If  he  has  always  been  of  a  weakly  frame  of  body,  probably 
his  disease  is  hereditary  ;  and  if  when  an  infant,  he  did  not  receive  his 
nourishment  at  the  breast,  but  was  brought  up  "  by  hand,"  the  physi- 
cian should  be  informed  of  the  fact. 


LIST  OF  MEDICINES. 


Aconitum. 

A-ntimonium  crudum. 

Apium  virus. 

Arnica. 

Arsenicum. 

Belladonna. 

Bryonia. 

Calcarea. 

Capsicum. 

Carbo  vegetabilis. 

Causticum. 

Cepa.  .     . 

Chamomilla. 

China. 

Cina, 

Cocculus. 

Coffea. 

Colocynihis. 

Crocus. 

Cuprum  metallicura. 

Drosera. 


Dulcamara. 

Euphrasia. 

Ferrum. 

Glonoiue. 

Hepar. 

Hepar,  3d  trituration. 

Hydrophobium. 

Hyoscyamus. 

Ignatia. 

Ipecacuanha. 

Lachesis 

Lycopodium. 

Mercurius. 

Natrum  muriaticum. 

Nux  moschata. 

Nux  vomica. 

Opium. 

Phosphorus. 

Phosphoric  acid. 

Platinum. 

Pulsatilla. 


Rheum. 

Rhus. 

Ruta. 

Sambucus. 

Sanguinaria. 

Secale. 

Silicea. 

Spigelia. 

Spongia. 

Spongia,  3d  trituration. 

Staphysagria. 

Stramonium. 

Sulphur. 

Sulphur,  3d  trituration. 

Tartar  emeticus. 

Tartar  emeticus,  3d   tn 

turation. 
Yariolinum. 
Veratrum. 


Arnica. 
Calendula. 


TINCTURES  FOR  EXTERNAL  USE. 

Cantharides.  Bata. 

Hypericum. 


The  medicines  should  be  kept  in  a  dry  and  not  too  warm  place,  free  from 
odors,  and  excluded  from  a  bright  light. 

(xxxvi) 


PART  FIRST. 


OF  THE  MOST  COMMON  CAUSES  OF  DISEASE. 


CHAPTER   I. 

AFFECTIONS    OF    THE    MIND. 


Sudden  Emotions. 

After  an  agreeable  surprise,  if  the  pleasurable  sensations  are 
accompanied  by  great  excitement,  trembling,  fainting,  &c.,  which 
may  happen  to  women  and  children,  give  Cojfea^  particularly  if 
they  cry,  weep,  or  laugh. 

After  a  common  fright^  caused  by  a  sudden  noise,  &c.,  give 
Opium  if  it  can  be  given  immediately;  but  if  a  half  hour, 
or  an  hour  should  have  elapsed,  Aconite  is  preferable. 

After  a.  fright^  with  great  terror,  Opium  is  the  best  remedy. 

Fright  with  vexation,  Aconite  ;  if  followed  by  sadness  or  grief, 
Ignatia.  If  children  after  being  frightened  are  still  fearful, 
have  great  heat  in  the  head  and  twitching  around  the  mouth, 
give  Opium. 

If  the  fright  is  followed  by  pains  in  the  forehead,  sour  vomit- 
ing or  eructation,  weakness  and  cold  perspiration,  or  stupor 
with  internal  heat,  agitation  and  heaviness  in  the  abdomen,  or 
coldness  of  the  body,  with  trembling  or  nervous  twitching, 
I  ^  2  (1) 


2  THE   MOST   COMMON   CAUSES   OF   DISEASE. 

oppression  of  the  chest,  stiffness  of  the  limbs,  unnatural  sleep 
with  loud  snoring,  give  Opium  in  water,  every  fifteen  to 
twenty  minutes  a  tea-spoonful,  if  better,  less  often.  ShouM 
within  an  hour  the  difficult  breathing  be  the  same,  particularly 
after  vomiting  or  coughing,  as  if  the  patient  would  suftbeate, 
the  face  turn  bluish,  chililren  weep  much  and  grasp  grown  per- 
sons with  their  hands,  tremble  as  if  in  distress,  breathing  more 
like  whistling  than  snoring,  give  Sambticus. 

If  the  difficult  breathing  increases  to  suffocation,  violent 
pains  appear,  especially  in  the  pit  of  the  stomach,  give  Aconitn. 

If  the  fright  is  followed  by  twitching  of  the  limbs,  or  convul- 
sions, insensibility,  difficult  breathing,  involuntary  evacuations, 
give  Opium;  or,  if  this  should  have  no  effect  within  half  an 
hour,  Ignatia^  or  Glonoine.  If  their  sight  fails,  if  they  sink 
down,  become  pale  as  death,  or  alternately  pale  and  red, 
have  sometimes  twitchings  around  the  mouth,  jerking  of  the 
limbs  or  spreading  asunder  of  the  fingers,  give  Glonoine  ;  if  tl>« 
back  becomes  stiff,  Ignatia. 

When  children  have  been  frightened  into  Jits^  and  scream, 
tremble,  have  twitchings  in  the  arms  and  legs — if  the  iiead  is 
hot,  with  much  perspiration  and  redness  of  the  face,  give  Opium; 
if  no  better  in  half  an  hour,  Belladojina ;  but  if  they  become 
very  pale,  Ignatia;  if  very  cold,  with  involuntary  evacuations, 
Veratrum. 

In  cases  of  simple  vomiting,  sickness  of  the  stomach,  or  pains, 
caused  by  a  fright,  Aconite.  For  diarrhoea,  caused  b}''  any 
sudden  mental  emotion,  give  Ojmim ;  and  if  the  patient  ia 
excited.  Aconite.  If  this  prt^ves  ineffectual,  Veratrum,  or  Pul- 
satilla,  according  to  the  symptoms  under  "Diarrhoea,"  Part  11. 

For  fainting,  after  a  fright,  Opium;  if  the  patient  becomes 
eold,  sprinkle  his  face  and  bathe  his  feet  with  cold  water;  if  it 
returns,  let  him  smell  camphor  spirit  at  short  intervals. 

When,  after  a  fright,  there  is  a  rush  of  blood  to  the  head, 
give  first  Opium :  if  this  fails.  Aconite,  and  if  it  returns  within 
six  or  eight  hours,  Belladonna. 

When,  after  o.  fright,  a  person  continues  to  be  greatly  ngitated, 


CHAP.  I.  AFFECTIONS   OF  THE   MIND.  3 

Belladonna  will  afford  relief;  sometimes  Mercurius,  accordidg  to 
the  .symptoms,  to  be  given  hereafter. 

If  fright  or  mortification  produces  derangement  of  the  mi  td, 
Belladonna  is  to  be  given,  if  the  blood  rushes  to  the  head,  the 
pupils  of  the  eyes  are  large,  face  red,  burning  hot,  nose  dry, 
throat  and  neck  sore  to  the  touch,  if  the  patient  cannot  hour 
any  thing  about  the  neck,  cannot  sleep  at  all,  or  is  raving 
mad,  will  run  away,  or  fears  what  he  imagines  to  see  before  his 
eyes. 

If  the  throat  and  neck  are  very  sensible  to  the  slightest  touch, 
if  the  patient  talks  incessantly,  changing  the  subject  often,  give 
Lachesis.  If  the  patient  is  very  indifferent,  or  low  spirited, 
alternating  with  paroxysms  of  laughter,  or  if  he  displays  much 
pride  and  contempt  for  others,  or  fears  the  approach  of  death — 
or  when,  with  females,  it  is  accompanied  with  a. copious  men- 
strual discharge,  give  Platinum;  should  this  discharge,  howevei, 
be  diminished  or  suppressed,  give  Pulsatilla. 

If  Belladonna  has  given  no  relief,  and  the  patient  remains 
much  agitated,  the  least  exertion  producing  trembling  and 
rushing  of  blood  to  the  head,  cannot  sleep  on  account  of 
frightful  visions,  is  worse  at  night,  cannot  bear  the  heat  of  the 
bed,  wishes  to  escape,  or  is  quarrelsome,  or  complains  of  his 
friends  and  of  all  about  him,  give  Mercurius. 

Fear  is  frequently  combined  with  fright,  and  the  same  reme- 
dies may  be  used.  When  children  are  timid.  Aconite  in  the 
evening,  or  Belladonna  in  the  morning.  If  children  fear  to  be 
alone,  Arsenicum;  if  they  are  afraid  of  every  stranger,  Pulsa- 
tilla. Give  these  medicines  only  once,  and  let  several  days 
pass  without  repeating  or  giving  any  other  medicine. 

For  diarrhoea,  caused  by  fear,  give  Veratrum,  particularly 
when  they  are  cold  and  tremble ;  when  internally  hot  and 
externally  cold,  or  the  body  hot  and  the  limbs  cold,  Pulsatilla. 
if  the  head  is  hot,  Opium. 

If  the  fear  continues,  if  they  imagine  that  they  see  dead 
persons,  or  that  thieves  are  in  the  house,  concealed  here  or  there, 
give  Arsenicum. 


4  THE   MOST   COMMON   CAUSES   OF   DISEASE. 

When  other  symptoms  appear,  particularly  stupefaction, 
difficulty  of  swallowing,  convulsions,  laughing  when  asleep, 
starting,  constant  apprehension,  or  a  desire  to  escape,  give  Hyos- 
cyaimis. 

Grief  and  Sorrow. 

The  consequences  of  grief  and  sorrow,  if  long  continued,  are  worse  than 
those  of  other  affections  ;  without  the  proper  moral  remedy,  medicines  are 
useless.  Whoever  cannot  find  the  former,  need  not  expect  relief  from  the 
latter.  The  first  sudden  consequences  are,  however,  in  most  cases  soon  over- 
come by  medicines. 

For  silent,  inward  grief,  combined  with  mortification,  for  sup- 
pressed vexation  which  we  cannot  quiet,  for  silent  grief  caused 
by  misplaced  affections,  or  in  consequence  of  losses  which  we 
cannot  forget — for  something  continually  preying  upon  the 
mind,  give  Ignatic,  which,  in  some  cases,  may  be  repeated  once 
O'   twice  within  a  day  or  two. 

For  vomiting,  or  pains  in  the  stomach,  or  headache  and  giddi 
ness,  give  also  Ljnatia  ;  and  if  it  fails.  Phosphoric  acid. 

Sleeplessness,  after  depressing  events,  sorrow  or  losses  of 
friends,  when  night  after  night  passes  without  any  sleep,  one 
dose  oi  Sulphur  will  often  give  relief. 

When  fits  are  caused  by  grief  or  mortification,  give  Ignatia 
first;  if  this  does  not  relieve,  give  Opium  during  the  attack,  and 
after  it,  Phosphoric  acid. 

When  grief  is  caused  by  disappointment  in  love,  give  Ignatia, 
particularly  if  one  cheek  turns  very  often  red.  When  the  patient 
is  very  quiet,  taciturn,  or  has  a  slow  fever,  give  Phosphoric  acid. 
especially  if  both  cheeks  are  sometimes  red.  If  the  disappointed 
lover  is  more  mortified,  indignant,  Staphisagria. 

If  jealous,  violent  in  his  motions,  quarrelsome  or  delirious, 
give  Hyoscyamus,  which  may  also  be  given  if  lovers  quarrel 
much.  If  he  talks  much  and  disconnectedly,  changing  the  sub- 
ject of  his  conversation  abruptly,  talks  to  every  person  about  his 
being  jealous,  or  is  peevish  and  malicious,  feels  worse  when 
awaking  or  after  eating,  Lachesis.     When  contempt  of  persons, 


CHAP.  I.  AFFECTIONS  OF  THE   MIND.  5 

heretofore  esteemed  or  loved,  is  shown  in  acts  or  words,  some- 
iimes  with  a  temptation  to  kill  such  persons,  give  Platinum. 
After  grief  and  loss  of  sleep  in  consequence  of  watching  at  the 
sickbed  of  dear  persons,  if  headache  and  nervousness  follow,  give 
Gocculus;  if  there  is  great  exhaustion,  the  patient  scarcely  able 
to  speak.  Phosphoric  acid;  if  entire  sleeplessness,  continuing  for 
many  nights,  Sulphur. 

"When  mortifications  have  produced  a  derangement  of  intellect, 
give  Belladonna,  Hyoscyamus^  Mercurius,  or  Platinum,  accord- 
ing to  the  symptoms  stated  above.  If  all  things  appear  larger, 
Hyoscyamus ;  if  much  sn:ialler,  or  very  little,  like  playthings. 
Platinum  ;  if  dark,  black,  double,  Belladonna  or  Mercurius;  and 
if  Mercurius  does  not  improve  any  more  let  it  be  followed  by 
one  dose  of  Sulphur. 

When  caused  by  home  sickness,  and  the  patient  cannot  sleep — 
is  hot  and  flushed  in  the  face,  give  Hyoscyamus ;  and  if  this 
should  not  give  relief  within  a  few  days,  the  cheeks  only  being 
red,  a  hot  feeling  in  the  back  of  the  throat,  GapsicuTn.  If  followed 
by  a  short  hacking  cough  every  morning  for  half  an  hour, 
Drosera.  If  the  patient  is  evidently  wasting  away,  does  not  tvish 
to  speak,  perspires  much  in  the  morning,  is  sleepy  and  dull,  and 
will  not  eat,  says  every  thing  he  eats  lies  heavily  and  oppres- 
sively in  the  stomach,  Phosphoric  acid.  When  the  patient  is 
very  weak,  trembling,  uneasy,  agitated,  particularly  during  the 
night,  chilly,  perspiring  much,  give  Mercurius. 

If  grief,  fright,  anxiety  or  fear  promote  the  monthly  dis- 
charge, or  increase  or  check  it,  or  bring  on  other  symptoms  with 
it,  give  Platinum. 

For  protracted  effects  of  grief  and  sorrow,  when  the  patient  i? 
irritable,  cross,  uneasy,  fearful,  dejected,  anticipating  danger, 
dreads  the  future,  frets  and  grieves  constantly,  is  sleepy  during 
the  day,  but  cannot  rest  at  night,  perspires  night  and  day,  loses 
the  hair,  the  voice  becomes  feeble,  give  Staphisagria.  If  he  is 
contemptuous,  refuses  to  speak,  is  feverish,  and  loses  flesh,  give 
Phosphoric  acid.  If  quarralsome,  obstinate,  sensitive,  and  mani- 
festing great  anxiety,  give  Mercurius, 

2* 


6  THE   MOST   COMMON   CAUSES   OF   DISEASE. 

Vexation. 

Chamomilla  generally  answers  best  when  tlie  vexation  is 
attended  with  violent  fits  of  anger. 

If  vexation  causes  a  bitter  taste,  retching  and  vomiting  of  bile. 
headache,  oppression  at  the  pit  of  the  stomach,  or  stomach, 
cutting  pains  in  the  bowels,  diarrhoea,  hot  fever  with  thii-st,  red- 
ness of  the  face  and  eyes,  agitation,  bilious  fever  or  jaundice, 
give  Chamomilla^  which  may,  in  some  cases,  be  repeated  in  from 
six  to  twelve  hours,  according  to  circumstances.  If  the  patient 
is  cold  and  chilly,  has  belching,  vomiting  or  rising  of  bitter 
water,  has  either  constipation  or  diarrhoea,  feels  better  when  at 
rest,  give  Bryonia,  and  if  it  produces  no  effect  in  eight  hours, 
give  Veratrum.  In  case  of  fever  with  restlessness,  pressure  in 
the  stomach,  like  a  stone,  Aconitum. 

When  food  or  drink,  taken  immediately  after  being  vexed, 
produces  bad  taste,  bitter  eructations,  vomiting  of  bile,  pain  in 
the  bowels,  heat  of  the  head,  uneasiness,  disturbed  sleep,  &c., 
give  Chamomilla  once  or  twice ;  but  if  this  medicine  loses  its 
effect,  give  Pulsatilla,  Nux  vomica,  or  Colocynth. 

1\  a  person  had  drunk  chamomile  tea,  and  had  afterwards 
been  vexed,  or  taken,  improperly,  chamomile  tea  f  )r  the  fever 
following  vexation,  give  Coffea,  and  if  this  does  not  relieve,  give 
Nux  vomica.  If,  after  this,  the  pains  still  remain,  give  Colocynth. 
If  the  patient  is  of  a  mild  disposition,  and  Colocynth  does  not 
effect  a  perfect  cure,  give  Pulsatilla. 

If  grief  or  shame  is  the  consequence  of  vexation,  give  Ignatia. 
If  vexation  is  followed  by  coldness  or  chills,  and  the  patient 
remains  cross,  give  Bryonia;  should  Bryonia  not  sufiBce,  the 
patient  being  one  who  is  inclined  to  become  very  angry,  or  who 
has  been  taking  wine  or  liquor,  give  Nux  vomica.  If  the  vexa- 
tion is  accompanied  by  just  and  violent  indignation  and  abhor- 
rence of  the  occurrence  which  induced  it,  if  this  is  expressed  by 
pushing  away  things  on  the  table  with  the  hands,  give  Staphis- 
agria.  When  there  are  pains  in  the  bowels,  especially  if  they 
occur  after  meals,  or  are  increased  by  taking  food,  Colocynth 
may  be  given. 


CHAP.  I.  AFFECTIONS   OF   THE    .MIND.  7 

Yexation  may  cause  restlessness,  want  of  sleep  on  account  of 
heat,  as  if  too  much  blood  were  in  the  head,  short  breathing, 
palpitation,  then  give  Aconitum. 

Restlessness  and  distress,  want  of  sleep  from  anxiety,  cold- 
ness, fear  of  being  alone,  fear  of  dying,  want  of  sufl&cient  breath, 
Arsenicum. 

If  vexation  produces  cough,  or  palpitation  of  the  heart,  asthma, 
spasms  in  the  chest,  so  that  the  patient  is  threatened  with  suft'o- 
cation,  give  ChamomiUa.  In  this  case  it  will  be  well  also,  to 
put  the  hands  for  a  short  time  in  cold  water;  and  if  this  fails, 
to  bathe  the  arms  in  warm  water  until  he  is  better.  If  worse 
after  midnight,  give  Arse7ucu7n ,'  if  worse  towards  morning,  or 
if  the  patient  seems  to  lose  his  reason,  Veratrum. 

Anger. 

When  persons  of  violent  temper  feel  unwell,  after  having 
been  in  a  passion,  give  Nux  vomica;  if  the  cheeks  are  burning, 
red,  face  red,  hot,  perspiration  warm,  if  disposed  to  be  in  motion, 
Chamomilla ;  and  if  disposed  to  be  quiet,  Bryonia. 

Anger  with  indignation  in  persons  inclined  to  much  reflec- 
tion, who  complain  of  soreness  all  over,  are  sleepy  during  the 
day,  and  sleepless  during  the  night,  Staphisagria ;  if  chilly  and 
feverish  alternately,  with  thirst  and  vomiting  of  bile,  generally 
worse  towards  morning,  Nux  vomica. 

Internal  chilliness  without  chills,  worse  from  afternoon  till  mid- 
night, Pulsatilla. 

If  anger  and  vexation  produce  mental  alienation,  fear  of  death, 
anxiety  or  laughing  and  crying.  Platinum.  When  little  chil- 
dren get  into  so  violent  a  rage  as  to  lose  their  breath  or  fall  into 
convulsions,  give  Chamomilla;  if  they  lose  their  breath,  appa- 
rently from  phlegm  in  the  throat,  with  rattling,  give  Tartar 
em£tic.  If  they  shriek  and  weep  violently  which  seems  to  cause 
coughing,  or  if  the  anger  and  crying  cause  a  jumping  or  beating 
of  the  heart,  give  Arnica. 

Arnica  must  be  given  if  anger  causes  blood-spitting  or  a  sen- 
sation as  if  beaten  all  over  (like  Staphisagria),  most  in  the  tack ; 


8  THE   MOST  COMMON  CAUSES   OF   DISEASE. 

h\  ter  taste,  foul  breath,  and  if  lying  there  as  if  stunned  by  a 
bl«jw,  head  liot,  feet  cold  ;  or  if  at  first  very  irritable,  afterwards 
stupid,  or  if  urine  and  stool  pass  involuntarily.  If  they  con- 
tinue to  cry  and  will  not  be  pacified,  the  blood  rushing  to  the 
head,  they  talk  confusedly,  or  are  senseless,  give  Belladonna, 
and  if  this  fails  to  relieve,  Hepar. 

Sensitiveness  and  Irritability 

Cause  indispositions  with  many  persons,  who  are  too  much 
affected  by  even  trifling  emotions.  If  owing  to  this  great  sen- 
sitiveness there  should  be  inward  vexation,  sleeplessness,  and  a 
disposition  to  shed  tears  at  the  most  trifling  and  imaginary 
causes,  give  Goffea.  The  patient  must,  of  course,  abstain  from 
drinking  coffee. 

Persons  with  great  irritability  of  the  whole  nervous  system, 
particularly  the  senses,  inclination  to  lie  down,  aversion  to  fresa 
air,  a  stubborn  and  refractory  disposition,  and  in  females,  if  the 
menstrual  periods  are  irregular,  give  Nux  vomica;  to  persons 
more  tranquil,  easily  moved  to  tears,  the  menstrual  period  too 
late  and  insufficient,  or  suppressed,  Pulsatilla.  If  more  fretful, 
give  Ignatia;  if  more  peevish  and  still  pasc^ionate,  give  Cho' 
momilla.  If  patients  are  greatly  excited,  form  plans,  and  are 
exceedingly  lively,  particularly  in  the  evening,  give  China,  If 
the  pains  are  distracting,  give  Goffea;  if  the  patient  has  fever 
with  a  quick,  hard  pulse,  give  Aconitum,;  and  if  three  or  four 
doses  of  this  fail  to  afford  relief,  Ghamomilla. 

When  persons  become  flighty  or  distracted  from  excessive 
pain,  are  subject  to  its  recurrence,  are  catching  cold  from  every 
change  of  weather,  and  are  worse  by  being  touched,  give  Ghina. 
Should  this  prove  ineffectual  within  six  hours,  Mercurius.  If 
violent  pains  bring  on  delirium  and  madness,  Veratrum. 

If  very  different  mental  emotions  or  mental  exertion  cause 
headache,  faintness,  or  determination  of  the  blood  to  the  heart, 
take  Ohnoine,  as  often  as  necessary,  but  if  great  weakness  and 
fatigue  remain,  take  Cuprum. 


CHAP.  IT.         CONSEQUENCES  OF  COLDS.  9 

CHAPTER   11. 

CONSEQUENCES    OP    COLDS. 

The  most  common  results  of  taking  cold  are  catarrh  and  cough,  sometimes 
fever,  colic,  diarrhoea,  pains  in  the  teeth,  ears,  or  limbs.  When  selecting  a 
medicine,  it  may  be  necessary  to  refer  to  the  chapter  where  these  disorders 
are  more  fully  treated.  Here  we  shall  only  mention  what  is  to  be  done  in 
the  most  common  cases. 

The  first  rule  to  be  observed,  in  order  to  prevent  bad  effects  from  catching 
cold,  is  to  keep  warm,  and  see  that  the  feet  are  kept  dry  ;  to  abstain  from  the 
use  of  spirituous  liquors,  which  in  some  cases  may  aggravate  the  complaint; 
and  eat  less  animal  food  and  no  spices. 

When  you  feel  that  you  have  caught  cold,  without  any 
decided  consequences  having  yet  manifested  themselves,  after 
having  been  in  a  cold  dry  wind,  take  Aconitum  ;  drink  a  large 
tumbler  of  cold  water  before  going  to  bed ;  cover  yourself  well 
and  try  to  perspire.  Either  next  morning,  or  before  noon,  the 
symptoms  will  generally  have  disappeared. 

If  children  cannot  be  induced  to  drink  water,  or  if  you  know  from  expe- 
rience that  it  does  not  produce  perspiration,  water  and  milk  in  equal  propor- 
tion, taken  very  warm,  may  cause  perspiration. 

Robust  laboring  men  or  women,  who,  after  having  overheated  themselves, 
catch  cold,  may  take  in  the  evening,  on  going  to  bed,  a  glass  of  hot  water  and 
sugar,  with  a  small  portion  of  brandy  or  rum  ;  intense  heat  will  be  relieved 
by  Glonoine. 

To  a  person,  who  in  winter  has  become  quite  stiff  with  cold 
and  wet,  give  a  cup  of  strong  coffee,  without  milk,  and  if  this 
should  prevent  sleep  at  night,  Nux  vomica. 

If  children  have  been  out  in  the  snow,  snow-balling,  skating, 
or  playing  out-doors  in  winter,  have  perspired,  perhaps  got  their 
feet  wet,  and  taken  cold,  give  Glonoine,  especially  if  the  head  is 
hot,  face  red,  pulse  very  quick,  eyes  red,  and  the  arteries  of  the 
neck  beating;  also  if  they  hold  their  head,  or  want  to  have  the 
forehead  pressed,  say  the  head  is  too  large,  or  begin  to  rave. 
Afterwards  it  may  be  necessary  to  give  Belladonna  ov Bryonia. 

When  perspiration  has  been  checked  by  taking  cold,  and  is 
followed  by  headache,  earache,  toothache,  or  pain  in  the  bowels, 
give  Chamomilla ;  by  pain  in  the  ears  alone,  Rhus. 


10  THE   MOST  COMMON   CAUSES  OF   DISEASE. 

CJiamomilla,  given  to  females  in  their  confinement,  often 
produces  perspiration.  If  they  complain  of  headache,  especially 
on  the  rii^ht  side,  occasioned  by  a  draugLt  of  cold  air, — or  of  pain 
ill  the  neck',  in  consequence  of  sitting  up  and  the  neck  having 
been  uncovered,  give  Belladonna ;  if  the  pain  extends  to  the 
shoulders,  being  partly  brought  on  by  holding  the  child,  Bhus 
will  remove  it;  if  the  pain  is  more  on  the  left  side,  is  throbbing 
and  shooting,  and  eflfects  the  lower  jaw,  the  arms  and  the  chest, 
Byronia  will  aftbrd  relief;  but  if  mostly  confined  to  the  tem- 
ple, the  eye,  the  upper  jaw,  or  to  the  chest  in  the  region  of  tlie 
heart,  Spigelia  should  be  given. 

When  a  person,  while  perspiring  freely,  gets  drenched  by  a 
shower  of  rain,  give  Rhus,  Should  no  relief  be  experienced 
within  ten  or  twelve  hours,  and  if  the  patient  had  previously 
over-exerted  himself,  give  Bryonia. 

When  in  the  latter  part  of  summer  a  sudden  change  takes 
place  in  the  weather  from  hot  to  cold,  and  almost  every  body 
complains  of  having  taken  cold.  Belladonna;  but  if  the  cold, 
wet  weather  continues  for  a  long  time,  give  Nux  moschata,  par- 
ticularly for  children,  women  and  easily  affected  men. 

For  cold  in  the  head,  from  wet  feet  give  Cepa ;  for  cough 
and  pains  in  the  limbs,  Rhus.  For  other  complaints,  one  of  the 
following :  Chamomilla,  Pulsatilla,  Mercurius. 

For  suppressed  perspiration  of  the  feet  select  one  of  the  above 

remedies,  or  Cuprum  or  Silicea. 

If  these  give  uo  relief,  heat  some  bran  in  an  oven,  and  cover  the  bottom 
of  a  small  tub  with  it  to  the  depth  of  three  or  four  inches,  place  your  feet 
upon  this  and  pack  the  remainder  around  the  legs,  so  as  to  cover  them  over 
the  calves.  The  bran  ought  to  be  as  hot  as  it  can  be  borne.  Keep  the  feet 
in  this  bran-hath  for  half  an  hour.  Checked  sweating  of  the  feet,  followed 
by  violent  pains  in  the  legs,  has  been  cured  by  putting  the  soles  of  the  feet 
upon  hot  bricks,  sprinkled  with  table  salt. 

If  catarrh  results  from  a  cold,  and  the  patient  can  neither 
smell  nor  taste,  give  Pulsatilla. 

For  catarrh,  with  heat  in  the  eyes  and  head,  soreness  of  the 
nose,  give  Belladonna.  If  the  nose  is  entirely  stopped  up, 
Kux  vomica  or  Ipecacuanha. 

If  northeast  wind,  blowing  from   the  sea,  causes  a  running 


CHAP.  II.  CONSEQUENCES   OF   COLDS.  11 

cold  in  the  head,  worse  at  night  and  in  the  room,  better  in 
the  open  air,  with  headache,  running  of  the  eyes,  heat  and  thirst, 
take  Ocpa. 

If  a  catarrh  has  been  checked  by  fresh  exposure  to  cold,  the  pa- 
tient is  worse  in  the  afternoon,  or  is  dejected  and  fretful,  give 
Pulsatilla ;  if  he  is  worse  at  night  or  towards  morning,  or  very 
cross,  sensitive,  and  excited,  China. 

If  an  eruption  has  been  checked,  give  Ipecacuanha^  and  if 
that  does  not  avail.  Cuprum.  In  some  cases,  Byronia,  Pulsa- 
tilla^ Sulphur^  or  Nux  moschata  may  be  given,  according  to  the 
symptoms.  If  the  recovery  from  catarrh  has  been  impeded  by 
a  fresh  cold,  attended  with  pain  over  the  eyes,  worse  on  the 
right  side,  the  face  flushed,  Belladonna  ;  if  the  pain  is  worse  on 
the  left  side  and  the  face  pale,  SjJigelia. 

Cough. — When  catarrh  is  accompanied  by  cough,  or  when 
a  dry  cough  remains  after  the  first  symptoms  have  disappeared 
under  the  action  of  other  medicines,  give  Nux  vomica.  If  the 
cough  is  dry  and  excites  vomiting,  Ipecacuanha  ;  if  it  is  hollow 
and  causes  vomiting,  Carlo  vegetahilis ;  if  accompanied  with 
tough  expectoration,  particularly  with  children  in  winter,  Cha- 
momilla ;  if  loose,  Dulcamara  or  Pulsatilla ;  (see  "Cough,"  in 
Part  II. ;)  if  the  cough  returns  with  every  blast  of  cold  air, 
give  Phosphoric  acid ;  if  it  returns  every  time  that  a  foot  or  arm 
is  exposed  when  in  bed,  and  is  hollow  and  fatiguing,  give  Hepar  ; 
if  the  cough  becomes  worse  after  going  to  bed,  is  always  worse 
when  getting  warm  in  bed,  Nux  moschata. 

When  the  cough  is  caused  by  cold  air,  is  dry  and  convulsive, 
with  vomiting,  or  the  expectoration  is  spotted  or  streaked  with 
blood,  if  accompanied  by  a  stitch  in  the  side,  or  by  headache, 
pain  under  the  ribs,  or  if  the  cough  is  caused  by  a  tickling 
in  the  throat,  and  the  chest  feels  sore  after  it,  and  when  the 
pulse  is  hard  and  quick,  giveBryonia;  but  when  the  pulse  is  not 
very  hard,  if  there  is  soreness  in  the  chest  after  or  during  the 
cough,  not  stitches  but  more  a  burning  sensation  in  the  chest, 
oppression  and  palpitation,  give  Garbo  vegetahilis.  , 

Difficulty  of  Breathing. — When,  after  taking  cold,  the 


12  THE   MOST  COMMON  CAUSES  OF  DISEASE. 

patient  appears  as  if  suffocating,  give  Ipecacuanha^  which  may  be 
repeated  every  half  hour  or  hour  if  necessary.  If  not  relieved  by 
this,  Arsenicum.  Sometimes  other  remedies  prescribed  for  asthma 
are  preferable,  viz.,  Nux  vomica^  Cuprum  or  Sambucus. 

DiARRHCEA. — When  immediately  after  taking  cold  diarrhoea 
appears,  give  Opium  qyqtj  time  the  bowels  are  moved.  If  this 
does  no  good,  or  if  the  diarrhoea  does  not  appear  for  a  day  or 
so  afterwards,  and  is  attended  with  pain  in  the  bowels,  or  other 
symptoms,  give  Dulcamara. 

In  diarrhoea  without  pain,  and  commencing  during  the  day, 
or  if  worse  in  the  day-time  and  better  at  night,  give  Ferrum; 
worse  after  midnight  or  towards  morning,  give  Phosphoric  acid, 
if  produced  by  eating  ice-cream,  or  drinking  ice- water,  compare 
Part  I.,  Chapter  IV. 

If,  during  warm  weather,  diarrhoea  was  caused  by  taking 
cold  while  in  perspiration,  or  by  cold  bathing,  with  heat  in 
the  head,  slight  pain  in  the  bowels ;  or  if  the  pit  of  the  stomach 
and  the  abdomen  are  sensitive  to  pressure,  or  the  stools  contain 
undigested  food,  Bryonia. 

If  discharges  of  undigested  food  follow  the  drinking  of  bad 
water,  and  Bryonia  proves  ineffectual,  give  China. 

For  diarrhoea,  with  flatulency,  cutting  pains  about  the  navel 
during  the  evacuation,  straining  and  great  weakness  at  the  same 
time,  discharges  of  mucus  and  blood,  or  if  the  patient  has  drunk 
spirituous  liquors,  give  Nux  vom,ica. 

If  there  is  much  blood  and  mucus  discharged,  give  the  reme 
dies  recommended  for  dysentery.  If  tedious,  but  not  violent, 
Sulphur. 

Pain  in  the  Bowels. — If  the  pain  is  violent,  spasmodic, 
pressing,  particularly  before  evacuations;  if  the  latter  are  acrid, 
thin,  brownish,  and  produce  burning  in  the  rectum,  give  China. 

For  cramp-like  pains  under  the  ribs,  moving  from  right  to  left, 
completely  prostrating  diarrhoea ;  in  chilly  people  with  white 
coated  tongue,  bad  smell  from  the  mouth,  always  headache  in 
the  morning,  dull  and  sleepy  during  the  rest  of  the  day,  give 
Nux  moschata. 


CHAP.  II.  CONSEQUENCES  OF  COLDS.  1 3 

If  violent,  tearing,  twitching,  with  a  sensation  as  if  tlie  .ntes- 
tines  were  in  motion,  if  the  patient  cannot  remain  quiet,  but 
runs  about ;  if  it  appears  as  if  a  large  ball  wei'e  in  the  side,  or 
as  if  the  whole  abdomen  were  hollow,  with  vomiting  and  retch- 
ing, the  diarrhoea  watery,  slimy  or  greenish,  with  a  smell  like  bad 
eggs,  give  Ghamomilla. 

For  diarrhoea  from  exposure  to  the  night  air,  greenish  and 
watery,  with  much  pressure  before  the  discharge,  a  disposition 
to  faint,  the  pains  about  the  navel  pressing,  below  the  navel 
griping,  with  a  constant  uneasy  sensation,  as  if  to  evacuate, 
rumbling  in  the  belly,  griping  in  the  pit  of  the  stomach,  tear- 
ing pains  in  the  abdomen,  which  feels  cold  to  the  hands,  with 
nausea,  shivering  and  chills,  give  Mercurius. 

If  partly  caused  by  a  disordered  stomach,  after  eating  pork, 
rich  pastry,  and  the  like,  worse  in  the  afternoon,  evening,  or 
during  the  night,  if  the  wind  rolls  about  in  the  stomach,  or  if  the 
belly  is  sensitive  to  pressure,  give  Pulsatilla.  The  same  to 
pregnant  women,  when  the  pains  resemble  labor  pains. 

For  a  disposition  to  cry,  pains  almost  unbearable,  great 
sensitiveness  and  sleeplessness,  Coffea. 

When  the  pains  are  so  violent  as  to  drive  the  patient  almost 
mad,  give  Ghamomilla ;  if  the  pains  are  always  worse  in  the 
open  and  cold  air,  but  better  in  warm  air,  and  the  patient  is 
very  changeable,  give  Nux  moschata. 

For  Headache,  from  cold,  with  rush  of  blood  to  the  head, 
increased  by  walking  or  going  up  stairs,  at  every  step,  or  on 
stooping;  worse  in  the  open  air,  with  a  feeling  as  if  the  head 
would  burst,  give  Belladonna. 

If  the  headache  is  more  a  pressure  on  single  small  spots,  with 
buzzing  in  the  ears,  or  difficult  hearing,  give  Dulcamara;  if  it 
feels  as  if  the  brain  was  loose,  and  as  if  it  did  strike  against  the 
skull  when  shaking  the  head ;  headache  after  breakflist,  or 
worse  after  every  meal,  with  giddiness  and  sleepiness,  give  ^«cr 
moschata. 

If  caused  by  a  draught  of  air,  and  merely  external,  give 
Nux  vomica  ;  if  internal,  give  Belladonna  ;  if  caused  by  bathing, 

3 


14  THE   MOST  COMMON   CAUSES   OF   DISEASE. 

and  Belladonna  does  not  cure  it,  if  accompanied  by  nausea, 
giddiness,  disordered  stomach,  worse  when  smoking  tobacco, 
give  Antimonium  crudum,  or,  according  to  the  symptoms, 
JBryonia. 

Affections  op  the  Eyes. — Compare  what  is  recommended 
for  "  Diseases  of  the  Ej'es."  Dulcamara  will  often  relieve.  For 
much  pain,  heat,  inflammation,  acrid  tears,  and  inability  to  bear 
the  light,  give  Belladonna,  and  if  this  does  not  cure  it,  Mercurius  ; 
if  this  fails,  Hepar. 

In  dimness  of  vision,  so  that  the  patient  is  unable  to  read, 
and  sees  sparks  before  the  eyes,  or  when  the  eyes  are  affected 
after  every  cold,  give  Dulcamara,  Sulphur,  or  Calcarea. 

Affections  of  the  Ear. — Constant  buzzing  in  the  eara 
and  difficult  hearing  indicate  Dulcamara  ;  if  they  return  again 
and  again.  Sulphur  or  Bryonia. 

Tearing  externally,  shooting  internally,  the  ear  dry,  indicate 
Chamomilla.  Tearing,  shooting,  aching  pains,  Nux  vomica; 
great  disposition  to  cry,  the  ear  moist  or  running,  or  hot  and 
red,  and  tearing,  twitching  pains  into  the  face,  Pulsatilla  ;  when 
it  tears  and  shoots,  with  much  buzzing,  the  ear  not  so  hot  and 
red,  but  excoriated  by  matter,  or  blood  is  discharged,  the  glands 
around  the  ears  or  of  the  throat  are  swelled,  give  Mercurius ; 
and  if  the  heat,  redness,  and  pulsating  pain  remain,  if  there  is 
shooting  when  blowing  the  nose,  or  buzzing  and  throbbing,  give 
Hepar.  Ear-ache  of  children,  from  a  cold,  is  often  relieved  by 
Hhus. 

If  a  running,  with  buzzing  and  burning  in  the  ears,  still 
remain,  give  Sulphur. 

Toothache. — Toothache,  from  cold,  usually  yields  to  Oha- 
momilla,  Rhus,  or  Nux  moschata.  See  "  Toothache,"  Part  II. 
Patients  subject  to  toothache  whenever  they  take  cold,  should 
take  a  dose  of  China,  and-  afterwards,  Mercurius,  or  Sulphur. 

Soke  Throat.— Affections  of  the  throat,  from  cold,  will  in 
most  cases  yield  to  Belladonna,  Dulcamara,  Mercurius,  or  Sul- 
phur.    See  Part  II. 

When  caused  by  drinking  very  cold  water,  or  by  exposure 


CHAP.  IT.  CONSEQUENCES   OF   COLDS.  15 

of  the  throat,  Belladonna  is  to  be  preferred ;  when  the  cold  is 
general,  Dulcamara.  When  the  throat  is  constantly  dry  and 
hot,  with  frequent  eflbrts  at  swallowing,  much  saliva  in  the 
mouth,  or  the  tonsils  are  swollen;  if  speaking  and  swallowing 
cause  shooting  pains ;  if  the  patient  hawks  much,  swallows  wnth 
difficulty,  is  in  dread  of  suffocation,  the  throat  seems  too  nar 
row,  what  he  drinks  regurgitates  through  the  nose,  if  he  is  very 
hasty,  give  Belladonna  ;  and  if  this  affords  no  relief,  Sul2:)hur, 
"When  the  pains  are  less  violent,  the  tongue  appears  paralyzed, 
there  is  much  perspiration,  sometimes  offensive,  without  giving 
any  relief,  the  patient  is  more  quarrelsome,  give  Dulcamara ;  if 
this  fails,  Mercurius,  or  one  of  the  other  remedies  presciibed 
under  "  Sore  Throat,"  in  Part  II. 

Nausea  and  Yomiting. — When  these  symptoms  appear 
after  a  cold,  particularly  when  a  rash  or  other  eruption  has  been 
suppressed,  the  best, is  Ipecacuanha.  If  it  does  not  answer,  and 
the  vomiting  is  sour  or  bitter,  with  many  empty  eructations,  give 
Belladonna  ;  if  nothing  but  tough  phlegm,  is  thrown  up,  Dulca 
mara ;  if  it  returns  after  exercise,  eating,  speaking,  or  when 
riding,  or  after  sleep,  Cocculus.  If  it  returns  from  every  motion 
of  the  body,  and  the  patient  is,  notwithstanding,  unable  to  keep 
quiet;  very  weak,  thirsty,  but  every  drink  makes  him  worse, 
give  Arsenicum.  For  spasms,  wdth  nausea,  Cuprum.  See  Chap- 
ter IV. 

Pains  in  the  Limbs.— When  the  parts  affected  feel  uneasy, 
so  as  to  require  constant  change  of  position,  every  thing  feeling 
as  if  too  hard  to  rest  upon,  and  the  limbs  as  if  benumbed  or 
strained,  the  patient  complains  even  when  a  person  is  walking 
across  the  room,  or  is  approaching  him,  give  Arnica.  But  if 
the  pains  are  attended  with  fever,  Aconite,  until  the  fever  abates; 
and  then,  after  several  hours,  Arnica.  In  some  cases  it  will  be 
better  to  give  Arnica  and  Aconite  alternately,  regulating  the 
length  of  the  intervals  by  the  increase  or  decrease  of  the  symp- 
toms. Should  they  not  be  sufficient  refer  to  "  Eheumatism," 
Part  II. 

If  the  pains  are  w^rse  when  lying  down,  and  at  night,  with 


16  THE  MOST  COMMON  CAUSES   OF   DISEASE. 

lameness  or  coldness  of  the  limbs,  with  pale  swelling  or  burning 
in  the  feet,  or  with  redness  and  swelling  of  the  big  toe,  with  a 
stiff  neck,  the  skin  very  dry,  or  offensive  perspiration  without 
relief,  give  Dulcamara  or  Mercurius. 

If  the  same  symptoms  return  after  every  cold,  with  uneasi- 
ness at  the  approach  of  other  persons,  or  when  attempting  to 
swallow  ;  worse  while  sitting  or  lying,  but  better  when  walking 
about,  with  a  swelling  and  rending,  burning  and  throbbing  pains 
in  the  great  toe,  give  Phosphoric  acid. 

For  swelling  of  the  knees,  lumps  on  the  joints  of  the  hands 
and  fingers,  give  Sulphur,  and  later,  Calcarea. 

When  taking  cold  causes /ever,  give  Aconite.  If,  after  two  or 
three  doses,  the  fever  still  increases,  select  one  of  the  following  : 
Nux  vomica  or  Chamomilla ;  Belladonna  or  Dulcamara ;  Ignatia 
or  Pulsatilla. 

In  general,  the  following  medicines  answer  best  in  complaints  from  cold ; 
in  acute  and  inflammatory  affections,  Coffea,  AconHum,  Chamovtilla,  Rhiis,  Niix 
vomica,  Fulsatilla,  BcJladonna,  Colcynthis.  When  less  violent.  Dulcamara 
and  Ipecaaianha.  "When  tedious  and  often  returning,  and  the  patient  has 
formerly  taken  too  much  mercury,  Carbo  t>egetahiUs,  Sulphur,  or  China.  If 
these  do  not  relieve,  Silicea  or  Hepo.r.  If  these  affections  result  from  bathing, 
Brj/ouia,  Antimonium  cnidum.  Sulphur,  or  Nux  moschafa,  and  after  a  few 
weeks,  Carbo  vgetabllis  or  Calcarea.  When  the  patient  cannot  perspire, 
Chamomilla  or  China,  Arsenicum  or  Silicea.  When  the  perspiration  is  too 
copious,  Mercurius,  Phosphoric  acid,  Carbo  vegetabilis,  Sulphur  or  Hepar. 

When  a  person  takes  cold  very  easily,  he  should  abstain  from  the  use  of 
coffee  and  spirituous  liquors  ;  use  more  cold  drinks  than  warm  ;  wash  himself 
frequently  in  cold  water,  and  accustom  himself  more  and  more  to  the  air  in 
every  kind  of  weather;  this  custom  will  gradually  diminish  the  disposition  to 
take  cold,  and  finally  remove  it  entirely,  particularly  if  the  patient  takes  some 
of  the  following  medicines  :  Coffea,  Belladonna,  Nux  moschaia,  Nux  vomica, 
China,  Dulcamara ;  or  Silicea,  Carbo  vegetabilis,  Calcarea.  The  latter  three 
must  not  be  taken  too  frequently,  but  only  at  long  intervals. 

If  one  is  much  afraid  of  the  cold  air,  yet  feels  worse  in  the  warm  room,  give 
Apium  virus ;  if  he  has  a  great  desire  to  go  abroad,  but  takes  cold  every  time 
he  does  so,  Cepa. 

If,  after  using  the  means  recommended  above,  there  should  still  remain  the 
same  susceptibility,  and  the  patient  is  chilled  by  every  draught  of  cold  air, 
let  him  take  Nux  vomica  or  Chamomilla.  If  exposure  to  cold  produces 
pain,  Arsenicum.  If  the  patient  has  already  chilblains,  let  him  take  the 
remedies  prescribed  under  "Chilblains;"  if  affected  by  every  blast  of  cold 
air,  Bryonia  or  Rhus,  Nux  moschatu,  Veralrum,  or  Mercurius,  and  if  they  do 
not  answer,  Carbo  vegetabilis  or  Calcarea,  according  to  circumstances.  If  he 
cannot  bear  the  wind,  Carbo  vegetabilis;  if  not  a  draught,  i^e//</(/o/mf?,  SuU 
phur,  Silicea  or  Calcarea,  one  after  the  other,  at  intervals  of  a  month  or  two. 
When  the  niy/it  air  only  is  injurious,  Mercurius  will  prove  beneficial,  and 


CHAP.  III.    CONSEQUENCES  OF  OVERHEATING,  ETC.         17 

after  several  days  have  elapsed,  Sidphur ;  to  be  followed,  if  necessary,  liy 
Carbo  vegetabilis.  If  a  person  feels  ill  in  damp  weather,  give  Diilcaiiuna, 
Rhus  or  Veratrum,  and  later  Carbo  vegetabilis  or  Caharea.  It'  it  afl'ects  (he 
chest,  Diilc  imara  or  Carbo  vegeiabilis. 

One  who  is  affected  by  a  thunder-storm,  should  take  Bryonia  during  the 
storm,  and  later,  Silicea.     Sulphur  is  also  recommended. 

A  popular  practitioner  has  recommended  the  following :  Let  the  person, 
who  is  either  frightened  during  every  thunder-storm  or  who  complains  of 
lameness  of  the  limbs  at  the  approach  of  every  storm,  drink  a  tumblerful  of 
the  rain  which  falls  at  the  commencement  of  a  thunder-storm. 

If  every  change  of  weather  aggravates  the  complaint,  give  first,  Mercurius 
or  like^im  or  Rhus ;  later,  Sulphur  or  Silicea. 

If  the  change  from  warm  to  cold  affects  most,  give  Dulcamara  or  Rhns 
toxicodendron ;  if  from  cold  to  warm,  Carbo  vegetabilis  or  Lachesis.  If  damp- 
ness affects  most,  Nux  muschata. 

For  colds  occurring  in  the  spring,  the  remedies  most  indicated  are,  Vera- 
trum, Rhus  and  Carbo  vegetabilis ;  in  summer,  Belladouna,  Bryonia  and 
Carbo  vegetabilis;  in  autumn,  Veratr^im,  Mercurius,  and  Rhus;  in  winter, 
during  dry  weather,  Aconiturn  or  Belladonna,  Bryonia,  Nvx  vomica,  Chamo- 
viilla  or  Sulphur  ;  sometimes  Ipecacuanha  ;  but  during  damp  weather,  Cepa, 
Dulcamara,  Nux  moschaia,  Veratrum  or  Carbo  vegetabilis. 

It  is,  however,  necessary  to  examine  closely  under  the  heads  of  the  different 
complaints,  as  these  general  remarks  are  merely  intended  to  guide  the  patic:.'t 
to  the  remedy  to  be  preferred  in  doubtful  cases. 

After  cidting  the  hair  bad  results  often  follow,  particularly  with  children, 
which  are  attributed  to  cold ;  for  sudden  faintness,  jerkings  or  convulsions  ; 
congestion,  heat  of  the  head,  redness  of  the  face,  or  fear  with  mistrust  or 
anxiety,  give  Glonoine ;  for  fear  with  inclination  to  weep  or  run  away,  Bella- 
donna;  to  children,  while  cutting  teeth,  Chamomilla.  For  headache,  Bella 
donna,  Bryonia,  Glonoine,  or  Fulsatilla,  according  to  the  symptoms. 


CHAPTER    III. 


CONSEQUENCES    OP    OVERHEATING.    IMMODERATE    EXER- 
TION,   AND   GREAT    EXHAUSTION. 

After  immoderate  exertion,  great  relief  will  be  felt  from  taking  a  warm 
bath  for  half  an  hour,  or  a  Russian  bath,  when  that  can  be  procured.  If  the 
limbs  are  very  painful,  or  burn,  they  will  be  relieved  by  rubbing  them,  whilst 
in  the  bath,  with  soap,  applied  by  means  of  a  soft  flannel. 

Overheating. 

When  you  have  overheated  yourself  with  work  in  summer,  it  is  well  to  take 
a  few  drops  of  rum  or  brandy  on  sugar,  or  a  small  quantity  of  strong  wine, 
such  as  port  or  sherry,  and  refrain  from  drinking  cold  water  till  your  breath 
is  no  longer  warmer  than  usual.     IF  you  are  much  fatigued,  it  is  advisable  to 

c  3* 


18  THE   MOST  COMMON   CAUSES   OF   DISEASE. 

take  a  cuy-  of  weak  tea ;  if  much  fatijrned  in  coW  weather,  and  if  you  have  to 
go  out  again  in  tlie  open  air,  drink  cold  water  or  light  beer  ;  but  if  you  can 
remain  at  home,  drink  warm  mulled  beer.  Spirituous  liquors,  even  in  mode- 
rate quantities,  when  taken  in  cold  weather,  only  render  persons  more  sensi- 
tive to  cold,  they  will  produce  a  feeling  of  exhaustion  and  chilliness  the  next 
day. 

If  a  person  is  easily  exhausted  in  warm  weather,  let  him  drink  coffee 
occasionally,  but  no  spirits. 

When  a  person,  by  remaining  long  in  the  cold,  has  brought  upon  hmiself  a 
torpid  feeling,  or  an  irresistible  propensity  to  sleep,  let  him  take,  or  frequently 
smell,  a  small  piece  of  camphor. 

Sun-Stroke. — During  the  hot  weather  of  summer,  adults  as 
well  as  children,  who  work  hard  or  exercise  themselves  too 
much  in  the  open  air,  are  sometimes  so  much  affected  by  the 
heat,  that  they  fall  down  suddenly  as  if  struck  by  apoplexy, 
or  that  they  first  stagger,  try  to  support  themselves  and  then 
sink  down.  In  such  a  case  give  Glonoine,  and  more  particu- 
larly if  the  following  symptoms  are  present:  eyes  fixed,  without 
expression,  glassy ;  pupils  contracted ;  pulse  scarcely  percepti- 
ble, or  so  quick  that  it  can  hardly  be  counted  ;  loss  of  speech 
or  at  least  disinclination  to  speak;  sometimes  retching,  face 
pale,  white  or  yellowish-red ;  cold  sweat ;  body  cold ;  head  hot 
to  the  touch,  particularly  when  the  hand  remains  long  on  the 
head. 

In  all  cases  of  sun-stroke,  with  heat  of  the  head  internally  as 
well  as  externally,  cold  water  must  be  used,  either  by  apply- 
ing to  the  head  a  cloth  dipped  in  cold  water,  or  by  pouring  the 
water  upon  the  hea^ 

Application  of  ice  is  senseless,  and  blooddetting  murderous. 
In  some  cases  of  sun-stroke,  when  the  heit  is  not  only  about  the 
head,  but  also  over  the  whole  body;  the  pupils  small,  color  of 
the  face  changing ;  pulse  large,  hard  and  full ;  when  the  patient 
shows  now  and  then  signs  of  distress  and  anxiety  by  different 
movements,  as  starting,  putting  the  hands  to  the  head,  grinding 
of  the  teeth,  rolling  of  the  eyes,  &c.,  give  Aconitum  in  water. 

Belladonna  must  be  given  at  once  in  cases  with  the  following 
symptoms:  eyes  fixed,  half  open,  or  turned  upwards;  pupils 
large,  or  very  small,  or  both  of  different  size;  face  red  ;  head  and 
whole  body  hot;  involuntary  escape  of  urine  and  faeces;  pulse 


CHAP.  III.  CONSEQUENCES   OF   OVERHEATING,    ETC.  1^ 

full  and  hard  ;  occasional  twitching  or  trembling  of  the  limbs ; 

putting  of  the  hands  to  the  head ;  bending  backwards  of  the 

body ;  heavy  sleep. 

To  habitual  drunkards,  or  if  you  smell  that  liquor  had  been 

drunk  shortly  before,  and  Belladonna  had  given  no  relief,  give 

Nux  vomica. 

The  same  symptoms  may  be  caused  by  exposure  of  the  bare  head  or  nape 
of  the  neck  to  the  rays  of  the  sun,  by  sleeping  in  the  sun,  or  falling  asleep 
near  a  stove,  or  before  a  grate,  which  often  happens  to  old  people  or  children, 
while  warming  their  feet  in  winter.  The  same  remedies,  or  one  of  the  follow- 
ing, will  be  required  according  to  the  kind  of  headache. 

Headache  from  Heat. — Fulness,  as  if  the  head  would  split, 
worse  when  stooping,  a  feeling  about  the  forehead  as  if  the 
brain  were  pressing  out,  increased  when  walking,  and  worse 
from  every  slight  affection  of  the  mind,  combined  with  hot 
fever,  thirst,  vomiting  and  sleeplessness,  give  Belladonna  or  Bry- 
onia. If  combined  with  anxiety,  uneasiness,  rage  or  great  irri- 
tation, despondency,  imaginary  fears,  lamentation,  weeping,  &c., 
give  Belladonna. 

If  the  patient  is  very  peevish  in  the  morning,  cannot  bear 
the  pressure  of  his  clothing,  is  more  passionate  and  cross  than 
plaintive  and  desponding,  and  apprehensive  of  future  evil,  give 
Bryonia. 

If  one  has  headache  from  being  overheated,  especially  if  there 
be  heaviness,  throbbing  and  pressure  over  the  eyes,  and  pains 
in  the  eyes,  which  are  aggravated  by  looking  fixedly  at  any- 
thing, give  Carlo  vegetabilis. 

When  headache  is  caused  by  heat  or  great  exertion,  while 
exposed  to  the  sun  in  summer,  or  by  getting  too  warm  before 
the  fire,  or  by  ironing ;  when  the  head  feels  too  full,  and  there 
exists  a  want  of  appetite,  particularly  in  the  morning,  with  much 
thirst,  fever,  trembling,  nausea  and  vomiting,  or  diarrhoea,  give 
Bryonia. 

When  the  head  feels  too  full,  with  the  sensation  of  a  pulsating 
rising,  which  threatens  to  burst  the  head  ;  painful  beating  and 
aching,  worse  when  shaking  the  head,  give  Glonoine. 

DlARRHCEA. — In   diarrhoea  accompanied  by  fever,  caused  by 


20  THE   MOST   COMMON"   CAUSES   OF   DISEASE. 

excessive  beat  in  summer ;  and  also  in  colicky  pains  occasioned 
by  drinking  milk,  give  Bryonia.  To  a  person  who  cannot  bear 
the  heat  of  summer,  or  cannot  work  in  the  heat,  particularly 
when  troubled  with  night-sweats,  who  is  very  sleepy,  or  suffers 
from  pain  in  the  stomach  and  abdomen,  and  where  Bryonia 
does  not  answer,  give  Antimonium  crudum.  If  nausea,  which 
is  caused  by  the  heat,  returns  constantly,  the  remedies  prescribed 
only  giving  temporary  relief,  give  Silicea. 

Fatigue. 

The  fatigue  after  walking  a  great  distance,  or  after  much  labor,  particu- 
larly in  summer,  is  frequently  so  great  tliat  rest  does  not  relieve,  but,  on  the 
contrary  seems  to  increase  it.  If  possible,  let  the  sufferer  take  a  warm,  or 
still  better,  a  Russian  bath  ;  if  that  be  impracticable,  let  him  put  his  feet  into 
warm  water,  in  which  a  handful  of  salt  has  been  thrown.  If  this  does  not 
relieve  him,  give  Coffea.  A  cup  of  good  black  tea,  not  too  strong,  is  also  an 
excellent  remedy. 

After  any  very  weakening  fatigue,  or  after  all  great  exhaust- 
ing exertions,  Arsenicum  will  give  relief. 

If  the  exertion  had  been  accompanied  by  much  lifting  and 
stretching,  or  if  it  had  caused  perspiration,  and  the  body  cooled 
too  quickly  by  cold  air  or  water,  give  Rhus  toxicodendron. 

Should  fatigue  produce  a  sensati*m  of  faintness,  or  actual 
fainting,  give  Veratrum ;  if  no  food  had  been  taken  for  a  long 
time,  Coffea.  For  great  weakness,  in  consequence  of  profuse 
perspiration,  give  China.  If  there  are  symptoms  of  internal 
heat,  such  as  hot  breath  and  quick  pulse,  give  Aconite^  and  if 
not  relieved  by  this,  Bryonia.  [f  the  accelerated  circulation 
continues  for  several  days,  and  the  slightest  exertion  produces 
a  tendency  of  blood  to  the  head  or  chest,  or  if  the  face  is 
flushed,  give  Mercurius.  For  soreness  in  all  the  limbs,  particu- 
larly in  the  muscles.  Arnica  is  the  best  remedy. 

If  after  fatigue,  particularly  in  winter,  with  people  other- 
wise easily  affected,  or  such  who  cannot  bear  the  cool  air,  there 
appear  weakness,  pains  in  all  parts  on  which  they  lie,  particu- 
larly pains  in  the  temples ;  a  dull,  sleepy  di.sposition,  they  cannot 
recollect   themselves ;    are    sleepy   without  getting  relief  from 


CHAP.  III.    CONSEQUENCES  OF  OVERHEATING,  ETC.        21 

sleep  ;  some  are  afraid  of  going  to  sleep,  on  account  of  tlie  beat- 
ing in  the  head  :*  Nux  moschata  will  give  relief. 

If  the  feet  have  become  sore  from  walking,  and  are  blistered, 
Arnica  will  do  no  good ;  if  you  have  to  walk  again  on  the  fol- 
lowing day,  apply  tallow  or  suet,  spread  on  a  piece  of  linen  or 
soft  leather.  In  the  evening  take  Cepa,  and  apply  a  wet  cloth ; 
in  most  cases  you  will  be  well  the  next  morning. 

If  the  feet  are  much  swollen,  or  painful  from  walking,  take 
Arnica^  or  wash  the  feet  in  water  with  which  some  drops  of 
Arnica  tincture  have  been  mixed. 

If  the  fatigue  is  so  great  that  it  causes  internal  pains  and 
restlessness  ;  if  sleep  does  not  refresh  ;  every  thing  pains  at  the 
slightest  touch;  sitting  down  and  standing  up  weakens  very 
much;  walking  about  relieves  a  little;  the  beating  of  the  pulse 
is  felt  all  over  the  body ;  give  Natrum  muriaticum.  If  every 
exertion  or  motion  causes  a  prickling  sensation  all  over,  Apium 
virus  ;  if  it  remains  or  returns  again  and  again,  Hepar. 

If  the  limbs  are  painful  after  carrying  or  lifting  something 
heavy,  particularl}''  on  moving  them,  or  when  at  rest,  give  Rhus  ; 
or  when  there  are  shooting  pains  in  the  small  of  the  back,  espe- 
cially on  moving,  Bryonia;  but  if  it  is  almost  impossible  to 
move  the  back,  on  account  of  excessive  pains,  give  Sulp)hur. 
See  the  remedies  for  "  Overlifting,"  Part  I.,  Chapter  IX. 

If  a  person,  who  is  otherwise  in  good  health,  feels  tired  after 
the  least  exertion,  even  from  talking,  give  Cocculus  ;  but  if  talk- 
ing makes  him  so  tired  in  the  throat,  that  it  pains,  Apium  virus; 
and  if  this  does  not  relieve,  Veratrum ;  if  this  fails  also,  give 
Calcarea. 

When  walking  briskly  causes  loss  of  breath,  or  coughing, 
pain  in  the  side  or  limbs,  give  Aconite;  if  the  pain  in  the  side 
continues.  Arnica^  and  if  this  does  not  afford  any  relief  in 
twelve  hours,  give  Bryonia. 

If  every  quick  motion  causes  an  almost  suffocating  shortness 
of  breath,  with  perspiration  about  the  neck,  Samhucus  will  give 
relief. 

If  the  shortness  of  breathing  continues,  or  becomes  worse 


2S  THE   MOST   COMMON   CAUSES   OF   DISEASE. 

by  ascending  the  stairs,  attended  with  coughing  and  raising  of 
phlegm,  give  Silicea. 

Sitting  up  at  Night 

Is  always  debilitating,  yet  every  one  should  be  able  to  bear 
it  in  case  of  need.  If  it  produces  greater  weakness  than  usual, 
if  persons  cannot  deprive  themselves  of  one  hour's  sleep,  give 
Cocculus  or  Phosphoric  acid.  If  sitting  up  occasions  headache, 
or  if  a  person  has  taken  much  cofi'ee,  wine  or  spirituous  liquors 
to  keep  himself  awake,  give  Nxix  vomica  before  going  to  bed ; 
if  the  headache  is  not  caused  by  spirituous  liquors,  and  the  pa- 
tient is  unable  to  lie  down,  or  has  nausea,  give  Ipecacuanha. 
If  the  head  had  been  bad  at  night,  but  a  little  better  in  the 
morning,  or  to  women,  Pulsatilla.  If  there  is  determination 
of  blood  to  the  head,  or  a  sense  of  heaviness,  more  when  moving 
the  eyes,  give  Nux  vomica  or  Pulsatilla;  Nux  vomica  to  mo:e 
passionate  and  energetic,  Pulsatilla  to  mild  persons ;  Nux 
vomica  if  worse  in  the  morning,  Pulsatilla  if  worse  in  the  even- 
ing and  better  in  the  morning ;  worse  in  the  open  air,  N'>ix 
vomica;  better,  Pulsatilla.  If  the  headache  is  worse  when 
walking,  with  a  booming,  shaking  sensation,  give  Nux  vomica; 
or  if  the  head  feels  heavy,  as  if  the  patient  were  intoxicated, 
with  buzzing  and  heaviness  in  the  forehead,  pale,  haggard 
countenance,  nausea,  chilliness,  weakness  and  crossness,  Nux 
vomica. 

When  the  head  feels  as  if  empty  and  light,  the  patient  cannot 
bear  the  light,  worse  when  lying  down,  give  Pulsatilla. 

When  the  head  trembles,  is  light,  the  fece  flushed  blue 
circles  around  the  eyes,  the  mouth  perfectly  dry  without  fhlrst, 
loathing  of  food,  nausea  to  fainting,  fulness  of  the  st  )m&ch, 
Oppressed  breathing,  if  worse  in  the  air,  from  speaking  or  drink- 
ing coffee,  if  the  patient  is  very  sad  and  troubled  by  f.ightful 
dreams,  give  Cocculus.  If  greatly  excited  in  the  evening,  does 
not  sleep  well,  is  weary  when  rising,  China;  if  complaining 
of  feeling  sore  all  over.  Arnica. 

The  effects  of  late  hours  and  late  suppers  may  be   coui> 


CHAP.  III.  CONSEQUENCES   OF   OVERHEATING,    EVO.  23 

teracted  by  Pulsatilla  or  Nux  vomica^  according  to  the  above 
indications,  or  by  Carlo  vegetabilis;  see  "Consequences  of  In- 
toxication." 

Confinement  and  much  Mental  Application. 

If  the  confinement  produces  symptoms  of  Dyspepsia,  and  if 
the  patient  has  been  accustomed  to  drink  coffee  or  spirituous 
liquors,  Nux  vomica,  taken  in  the  evening,  will  often  have  a  good 
effect;  if  after  four  or  five  days  it  gets  worse  again,  give  Sul- 
phur, which  may  be  repeated  in  three  or  four  weeks,  if  neces- 
sary. When  the  head  is  more  affected,  Nux  vomica  is  a  good 
remedy,  and  afterwards  Belladonna,  sometimes  Pulsatilla.  See 
"  Headache."  If  all  these  medicines  prove  ineffectual,  and  if 
every  exertion  of  the  mind  causes  headache,  give  Calcarea 
If  there  is  merely  a  sensation  of  giddiness,  as  if  drunken,  give, 
according  to  the  temperament  of  the  persons,  Pulsatilla  or  Nux 
vomica.  Toothache,  cough,  and  other  complaints  caused  by 
mental  application,  yield  often  to  Nux  vomica. 

Excesses 

Injure  body  and  mind  more  than  anything  else.  If  they  consist  in  intem- 
perance in  eating  or  drinking,  apply  the  remedies  prescribed  under  "  Dis- 
ordered Stomach."  But  if  they  are  such  as  waste  the  very  marrow  and 
essence  of  the  constitution,  the  greatest  abstemiousness  is  a  most  absolute 
condition,  together  with  which  the  following  remedies  may  do  much  good  : 

The  principal  remedy,  and  the  one  which  should  be  given 
first,  but  which  may  be  given  repeatedly  after  other  remedies, 
is  China.  Afterwards,  and  when  the  patient  regrets  much  his 
vicious  conduct,  give  Phosphoric  acid.  Look  also  under  the  head 
of  the  special  complaint  of  the  patient,  and  select  in  preference 
such  remedies  as  China,  Phosphoric  acid,  Staphisagria,  Nux 
vomica,  or  Suljjhur  and  Dulcamara,  the  one  or  the  other,  which- 
ever may  seem  to  suit  best. 

The  same  treatment  is  recommended  when  the  patient  has  lost 
his  strength  by  self-abuse ;  give  in  the  beginning  China,  or  Sia- 
phisagria,  or  Nux  vomica;  later  Phosphoric  acid,  Sulphur  or  Cal- 
carea. 

The  patient  should  be  persuaded  to  leave  off  his  bad  habits, 


24  THE   MOST   COMMON   CAUSES   OF   DISEASE. 

and  encourageu  to  constant  occupation,  or  even  hard  work ;  he 
should  eat  s{)aringly,  take  little  sleep,  abstain  from  all  spirituous 
liquors,  avoid  bad  company,  and  abstain  from  reading  books 
calculated  to  excite  the  passions. 

Should  a  morbid  irritation  trouble  the  patient,  which  is  often  the  case  with 
children,  select  in  preference  among  the  following  medicines:  China,  Mercu- 
rius,  Carbo  veyeiahilis,  Nux  vomica,  Pulacuilla,  Slaphinayria  or  Ai'iimonium 
crudvin,  Sihcea,  Platinvvi,  Calcarea  or  Colocynth.  Frequently,  when  China 
and  Carlo  vei/efabilis  are  insufiBcient,  Mercurin^  will  effect  more  ;  if  not,  SuU 
p/itir.  Besides  these,  Coffta,  Opium,  Aconite,  L/nutia,  may  be  indicated. 
These  remedies  may  all  be  given  dry,  or  in  water,  and  repeated  according  to 
circumstances. 

All  those  who  have  become  so  much  debilitated  by  excesses,  that  they  are 
easily  affected  by  every  little  current  of  air,  or  cold,  wet  weather,  or  are  very 
peevish  and  fickle,  will  be  relieved  by  Nnx  moschata. 

If  these  vices  have  so  weakened  the  constitution,  that  the  effects  appear 
even  after  marriage,  although  then  living  moderately,  give,  if  the  head  is 
much  affected,  Calcarea.  For  great  weakness  and  trembling  of  the  legs,  the 
same;  for  asthma,  Sfaphisa</ria ;  burning  in  the  parts  Alercurius  or  Carbo 
v-'jelabilia.  Weakness  in  the  feet,  heaviness,  and  a  feelingf  of  soreness  in  the 
limbs,  dullness,  ill-humor  and  relaxation,  may  be  remedied  by  Coccidus. 

A  good  homcEopathic  physician  will  restore  almost  all  such  cases. 

Loss  of  Blood,  or  other  Fluids. 

Loss  of  fluids  bj  too  much  perspiration  or  purging,  or  long 
continued  diarrhoea,  too  long  suckling  of  children,  through  too 
great  a  flow  of  milk,  bleeding  by  the  lancet,  or  loss  of  blood  bj 
other  means,  often  occasions  long,  lasting  weakness;  iu  all  such 
cases  give  China.  If  any  of  the  above  causes,  particularly  im- 
proper bleeding,  (or  with  children  the  bleeding  after  leech-bites, 
which  may  occur  during  the  night  without  being  perceived,) 
should  produce  fainting  or  convulsions,  give  immediately  CAma, 
and  do  nothing  else  ;  as  soon  as  the  sick  person  recovers,  and  if 
his  mouth  is  very  dry,  or  if  he  moves  the  tongue,  give  him  a 
little  cold  water ;  if  he  faints  again,  or  has  spasms,  or  if  he  does 
not  recover  entirely,  give  him  a  teaspoonful  of  good  old  wine; 
after  a  while  repeat,  if  necessary,  the  China,  and  later,  the 
wine.  After  this,  give  him  as  much  cold  water  as  he  wishes  to 
drink,  but  not  too  much  at  once. 

In  some  cases  other  medicines  may  be  required  ;  if  you  cannot  consult  a 
physician  of  the  right  kind,  compare  the  symptoms  of  the  case  with  what  is 
mentioned  under  the  different  heads,  indicating  StajMsagria  or  Sulphur, 
rery  often  Phosphoric  acid,  seldom  Nux  vomica,  and  afterwards  Arsei.icum. 


CHAP.  IV.  CONSEQUENCES   OF   bUHFiilTING,   ETC.  25 


CHAPTER    lY. 

CONSEQUENCES  OF  SURFEITING  AND  DISORDERED 
STOMACH. 

When  a  person  has  eaten  too  mucli,  or  partaken  of  some- 
thing which  is  too  heavy,  and  soon  after  feels  that  his  stomach 
is  out  of  order,  give  him  a  cup  of  strong  coffee  without  milk ; 
should  severe  headache  and  nausea  follow,  yet  no  vomiting,  dip 
a  very  soft  feather  in  oil,  and  tickle  the  throat  with  it  until 
he  vomits.  If  this  does  not  produce  vomiting,  give  some  luke- 
warm Avater.  If  nothing  will  make  him  vomit,  and  he  is  retch- 
ing, feels  very  hot,  particularly  in  the  head,  is  tossing  about, 
anxious  and  distressed,  give  Aconite.  If  he  feels  chilly,  give 
Pulsatilla,  which  may  be  repeated  every  few  hours  till  relief  is 
obtained.  If  there  remains  pressure  and  heaviness  in  the  sto- 
mach, and  qualmishness,  give  Chamornilla;  if  this  fails,  Nux 
vomica,  two  hours  afterwards;  if  there  is  constant  retching,  give 
Ipecacuanha;  great  coldness  and  violent  pain  in  the  stomach, 
Veratrum;  if  the  patient  has  thrown  up  bile,  and  there  is  a  bit- 
ter taste  remaining,  let  him  drink  a  few  glasses  of  cold  water; 
if  the  pressure  in  the  stomach  continues,  give  him  a  cup  of 
coffee  without  milk. 

If  there  is  no  improvement  felt  on  the  following  morning,  and 
if  loathing,  nausea,  inclination  to  vomit,  still  continue,  risings 
with  a  bad  mouldy  taste  and  smell,  resembling  the  smell  of 
the  food  which  has  been  taken,  give  Antimonium  crudum ;  if 
there  is  rising  with  a  bitter  taste,  Bryonia  ;  or  when  putrid,  Nux 
vomica;  or  like  rotten  eggs,  Arnica;  greasy,  Pulsatilla;  and 
when  acrid  and  bitter,  Arsenicum.  The  patient  ought  to  take 
no  n  )urishment  but  gruel,  barley  water,  tea  and  toast,  and  lastly 
.;hin  broth,  for  two  or  three  days,  to  give  the  stomach  time 
to  recover  its  functions. 

A  disordered  stomach  produced  by  eating  pork,  or  other  fat 

4 


26  THE  MOST  COMMON  CAUSES   OF   DISEASE. 

meat,  pastry,  rancid  butter,  &c.,  will  be  relieved  by  PuUsitiUa. 
If  this  does  not  suffice,  by  Carlo  vegetabilis. 

A  disordered  stomach  from  other  food,  risings  with  a  taste  of 
what  has  been  eaten,  nausea,  inclination  to  vomit,  will  yield  to 
Antimonium  crudum  or  Pulsatilla;  in  some  cases  they  must  be 
taken  alternately. 

For  a  disordered  stomach  from  eating  fruity  Arsenicum  or  Pulsa- 
tilla; nausea  and  belching,  Pulsatilla;  much  retching  and 
vomiting,  Arsenicum;  dry  mouth,  without  thirst,  Pulsatilla; 
constant  desire  to  drink  a  little  at  a  time,  Arsenicum ;  to  per- 
sons in  the  habit  of  drinking  beer  or  malt  liquors,  Pulsatilla — 
spirituous  liquors,  Arsenicum. 

Children  of  a  mild  disposition,  shunning  others,  Pulsatilla; 
obstinate,  cross,  angry,  afraid  of  being  alone,  Arsenicum.  Con- 
stantly asking  for  different  things,  Pulsatilla;  if  not  inclined  to 
give  any  thing  to  others,  or  cross  for  being  looked  at,  Arsenicum. 
Compare  "  Diarrhoea." 

For  disordered  stomach  from  bad,  sour  wine,  particularly 
with  much  x\?iMSQ?L,  AntimoniuTn  crudum ;  from  wine  containing 
Bulphur,  Pulsatilla ;  from  sour  beer  or  vinegar,  Aco^iiie  gives 
relief,  particularly  when  there  is  a  pressing  pain  in  the  stomach, 
nausea,  inclination  to  vomit,  and  vomiting  of  phlegm  or  blood; 
but  if  the  vomiting  is  sour,  with  burning  in  the  throat,  cutting 
pain  in  the  bowels,  and  purging,  Heimr.  For  vomiting  of  food, 
burning  in  the  stomach  and  abdomen,  cutting  pain  in  the  bow- 
els, with  coldness,  agitation  and  thirst,  Arsenicum;  if  connected 
with  great  debility  and  sensitiveness  to  warm  and  cold,  or  damp 
and  dry  weather,  Carho  vegetabilis. 

For  disordered  stomach,  from  stale  fish  or  meat,  give  forth- 
with a  small  quantity  of  pulverised  charcoal,  to  women  and 
children  in  sugar  and  water,  to  men  in  whisky  or  brandy; 
and  if  this  does^not  remove  all  the  unpleasant  symptoms,  China; 
if  there  is  a  corrupt  rising,  and  putrid  taste,  give  Pulsatilla. 

Disordered  stomach  from  salt  victuals,  Carbo  vegetabilis.  Long 
lasting,  bad  effects  from  eating  too  much  salt  may  be  removed 
by  Arsenicum,  one  dose,  waiting  weeks  without  giving  any  other 


CHAP.  IV.  CONSEQUENCES   OF   SURFEITING,    3TC.  27 

medicine ;  or  frequent  smelling  on  a  little  vial  containing  sweet 
spirits  of  nitre.  Drop  doses  of  the  latter  would  only  weaken  the 
nerves  and  effect  no  cure.  For  disordered  stomach  from  eating 
cabbage,  and  sour  crout  especially,  give  Bryonia. 

To  remove  the  symptoms  from  eating  old  cheese,  sausages, 
old  spoiled  smoked  beef,  &c., — see  under  "  Poisoning." 

Overfeeding  of  Cliildren. 

Children  are  not  unfrequently  made  ill  by  overfeeding,  or 
by  giving  them  indigestible  food,  such  as  pap  made  of  flour, 
crackers,  bread  not  sufficiently  baked,  and  the  like ;  especially 
when  they  are  rocked  too  much,  and  are,  moreover,  dosed  with 
rhubarb,  salts,  castor  oil,  &c.  All  these  things  should  be 
avoided.  To  check  vomiting,  give  Ipecacuanha,  particularly  if 
the  vomiting  is  accompanied  by  purging.  If  this  does  not  give 
any  relief  afier  several  doses,  Pulsatilla.  If  there  is  only  purg- 
ing, with  a  discharge  of  undigested  food,  China.  If  vomiting 
is  accompanied  by  constipation,  Nux  vomica. 

The  same  kind  of  food  ought  not  always  to  be  given  to  little  children :  the 
milk  should  be  brought  to  the  boiling  point,  then  allowed  to  stand  till  it  cools, 
and  the  scum  that  forms  on  the  top  carefully  removed  ;  thin  gruel  agrees 
better  with  some  ;  if  a  more  substantial  fare  is  required,  they  should  have 
grits,  made  of  wheat,  in  preference  to  pap  made  of  flour.  Or  fill  a  linen  bag 
with  wheat-flour  as  tightly  as  possible,  then  tie  it  up  well  and  keep  it  in  boiling 
water  for  three  hours.  'After  that  take  it  out  and  let  it  get  cold.  Upon 
removing  the  bag,  you  will  obtain  a  hard  mass,  from  which  the  outer  crust 
must  be  pealed  off.  Then  grate  as  much  of  it  as  is  required  for  a  meal,  and 
have  it  boiled  in  water,  milk,  or  broth. — Dry  rusks  are  also  good  for  children, 
provided  they  are  not  too  brown,  which  is  a  sign  of  their  having  been  burnt. 
Pearl  barley,  boiled  to  a  jelly  and  passed  through  a  sieve,  often  agrees  better 
than  any  other  kind  of  food. 

Headache, — If  headache  with  nausea  follows  a  disordered 
stomach,  and  the  whole  head  feels  as  if  every  thing  inside  were 
bruised,  give  Ipecacuanha.  For  oppressive  headache,  with  heat 
in  the  brain,  worse  after  walking,  reading,  eating,  with  putrid 
taste,  Arnica.  For  throbbing,  shooting  headache,  worse  when 
talking,  with  much  nausea,  ioX^e  Aconite ;  for  dull,  general  head- 
ache, worse  whilst  going  up  stairs,  and  from  smoking  tobacco, 
without  appetite,  with  a  bitter  taste,  rising,  hiccough,  loathing 
and  nciusea,  worse  after  drinking  wine,  Antimonium  crudum. 


28  THE   MOST  COMMON  CAUSES   OF   DISEASE. 

For  burning,  pressing,  bursting  headache,  worse  when  stoop* 
ing,  as  if  all  would  fall  through  the  forehead,  throbbing  or 
tearing  when  walking,  or  splashing  as  if  from  water,  worse  in 
the  morning  early,  or  with  chills,  give  Bryonia. 

A  rending,  throbbing,  jerking  headache,  worse  in  the  evening 
when  lying  down,  or  one-sided,  attended  with  a  putrid,  earthy 
taste  in  the  mouth,  and  without  thirst,  is  relieved  by  Pulsatilla, 
If  there  is  heaviness  in  the  head,  and  great  soreness  of  the 
scalp  when  touched,  with  trembling  in  the  jaws,  a  salty  taste, 
and  spasm  in  the  stomach,  give  Carho  vegetahilis ;  especially 
to  persons  who  have  taken  much  mercury.     See  Part  II. 

VOMITIXG. — If  occasioned  by  a  disordered  stomach,  give  Ipe- 
cacuanha, if  the  tongue  is  coated;  if  it  is  clean,  Tartar  emetic; 
if  produced  by  eating  too  much  bread,  and  attended  with  great 
oppression  about  the  pit  of  the  stomach,  Bryonia. 

If  produced  by  overloading  the  stomach,  and  attended  with 
bitter  taste  while  chewing  the  food,  or  when  accompanied  by  a 
burning  sensation  in  the  throat,  Pulsatilla. 

Flatulency. — If  it  swells  the  belly,  renders  breathing  diffi- 
cult and  is  caused  by  food,  such  as  cabbage,  sour  crout,  new 
beer  and  the  like,  and  particularly  when  there  is  a  painful  tight- 
ness across  the  belly,  with  pains  and  pressure  about  the  navel, 
and  the  patient  is  chilled  after  drinking,  take  China.  If  drink- 
ing gives  rise  to  pains  in  the  pit  of  the  stomach,  which  obstruct 
breathing,  the  clothes  round  the  ribs  feel  too  tight,  and  there  is 
a  weight  as  from  stones  in  the  abdomen,  Nux  vomica. 

If  caused  by  eating  fat  food,  after  which  much  water  has  been 
drunk,  when  the  wind  rolls  in  the  bowels,  the  belly  appearing 
too  full  and  hard,  worse  in  the  evening,  Pulsatilla. 

If  oppression  of  the  chest  proceeds  from  an  accumulation  of 
wind,  with  jerking  and  shooting  pains,  a  tension  about  the  pit 
of  the  stomach — without  exactly  swelling  the  belly — causing  a 
State  of  utter  restlessness.  Phosphorus  will  afford  relief. 

Persons  subject  to  flatulency  may  take  as  much  of  finely  pul- 
verized wood-charcoal  as  will  lie  on  the  end  of  a  dessert-knife, 
once  or  twice  a  day ;  but  if  Carho  vegetahilis  in  a  few  gla^^ulea 


CHAP.  IV.  CONSEQUENCES   OF   SURFEITING,    ETC.  29 

Vill  give  relief,  the  improvement  lasts  mucli  longer.     All  per- 
sons who  pass  winds  with  a  bad  smell  ought  not  to  eat  eggs. 

Colic— Sudden  attacks  caused  by  eating  too  much,  or  by  a 
foul  stomach,  are  often  cured  by  taking  some  coffee  without 
milk  ;  or,  if  this  fails,  by  Pulsatilla^  Golocynthis,  or  some  other 
remedy  indicated  under  "Colic,"  in  Part  II.  Colic  from  cucum- 
bers or  salad,  Cepa. 

DiARKHCEA. —  If  arising  from  a  disordered  stomach,  is  often 
cured  hy  Pulsatilla ;  in  children,  when  accompanied  with  nausea 
and  vomiting,  by  J^ecacwan/za ;  in  children  who  are  sleepless, 
excited,  and  too  lively,  by  Coffea  ;  if  cutting  pains  in  the  bowels 
seem  to  go  upwards  and  produce  nausea,  and  there  is  weakness 
after  each  evacuation,  by  Nux  vomica^  or  other  medicines.  See 
"  Diarrhoea,"  in  Part  II. 

Sleeplessness. — If  produced  by  overloading  the  stomach 
often  yields  to  Coffea,  particularly  with  children,  or  to  Pulsatilla. 
If  caused  by  strong  coffee,  to  Nux  vomica  ;  if  by  eating  too  much 
in  the  evening,  drink  a  glass  of  cold  water,  sweetened  with  loaf 
sugar;  if  this  occasions  acidity,  drink  the  water  without  the 
sugar. 

Nightmare. — From  eating  too  much,  can  only  be  prevented 
by  avoiding  the  cause;  drinking  sugar- water  may  sometimes 
remove  it.  A  person  who  is  subject  to  this  complaint,  should 
not  eat  much  at  night,  and  take  the  medicines  recommended 
for  "Nightmare." 

Fever  with  much  chilliness  and  coldness,  diarrhoea  or  consti- 
pation, in  persons  of  a  passionate,  cross  temper,  may  be  removed 
hj  Bryonia  ;  to  phlegmatic,  awkward,  irritable  persons,  give  Cop- 
sicum.  If  the  fever  returns  every  second  day,  Antivionium  cru- 
dum  or  Ipecacuanha.  On  the  daj^s  when  the  patient  is  clear  of 
fever,  give  Ipecacuanha,  four  times  ;  on  those  when  he  has  fever 
give  it  twice, — except  during  the  paroxysms  of  heat  or  cold. 
On  the  seventh  day  let  him  take  Nux  vomica.  Through  this 
period  he  must  abstain  from  eating  fruit. 

Eash  arising  from  a  disordered  stomach,  with  chills  and  low 
spirits,   is    often  cured  by  Pulsatilla;    with   sickness   of  the 

4* 


30  THE  MOST   COMMON   CAUSES   OF   DISEASE. 

storaacli  apd  difficulty  of  breathing,  by  Ipecacuanha;  if  thia 
proves  useless,  by  Bryonia.  If  caused  by  noxious  food,  see 
"Poisoning."     For  other  remedies,  see  "  Eruptions." 

Inpisposition  fkom  Cold  Water  or  Ice. — If  the  drinh- 
ing  of  water  aggravates  every  complaint,  confuses  the  head,  pro- 
duces nausea  and  heat,  take  Cocculus.  If  it  produces  cough 
and  headache.  Aconite;  if  cough,  vomiting,  and  chills,  Arseni- 
cum; if  bad  taste,  as  if  the  water  were  impure,  coldness  in  the 
belly,  pain  in  the  bowels  and  chills,  China;  if  nausea  and  pain 
in  the  bowels,  Pulsatilla^  and  if  this  does  not  give  relief,  Rhu^. 
Continuous  nausea  from  drinking  water  may  sometimes  be 
removed  by  taking  a  little  table'salt — as  much  as  will  lie  on  the 
end  of  a  pen-knife. 

If  drinking  water  produces  hiccough,  take  Ignatia ;  oppres- 
sion at  the  stomach,  Ferrum;  if  it  causes  swelling  of  the  abdo- 
men, as  from  flatulency,  with  pressure  in  the  pit  of  the  stomach, 
difficulty  of  breathing,  and  chills,  take  Nux  vomica;  if  it  causes 
constant  inclination  to  go  to  stool,  and  purging,  Capsicum;  pain 
in  the  chest  and  shuddering,  Veratrum. 

If  it  is  followed  by  toothache,  take  Bryonia,  Mercurius,  or  Sta' 
phisagria,  according  to  circumstances.  If  merely  irritability  of 
the  teeth,  without  pain,  Mercurius  or  Sulphur. 

If  a  person  habitually  takes  cold  in  the  stomach  from  drink- 
ing cold  water,  and  has,  in  consequence,  accustomed  himself  to 
mix  spirits  with  the  water,  and  wishes  to  leave  off"  this  habit, 
let  him  try  some  of  the  medicines  recommended  above.  If  he 
does  not  succeed,  let  him  take  a  drop  of  pure  sulphuric  acid, 
and  mix  it  with  a  pint  of  water  by  pouring  it  for  some  time 
from  one  tumbler  into  another,  and  take  a  table  spoonful  of  this 
in  the  morning,  fasting,  once  or  twice.  This  will  often  warm  the 
Btomach,  and  gradually  accustom  it  to  pure  water  again. 

When  drinking  hastily,  disorders  the  stomach,  give  Silicea. 

When  merely  cold  drinking  causes  indisposition,  Nux  vomica 
or  Staphisagria  may  give  relief;  if  not,  Calcarea. 

Indisposition  from  ice  or  very  cold  water,  during  great  heat, 
when  sudden  and  dangerous,  generally  yields  to  Opium,  or  Glo- 


I 


CHAP.  IV.  CONSEQUENCES   OF   SUKFEITING,   ETC.  31 

noine  ;  See  "  Sunstroke  f  especially  if  accompanied  bv  a  tendency 
of  blood  to  the  head,  twitching  in  the  face,  unconsciousness  and 
giddiness  almost  to  reeling ;  persons  in  the  habit  of  drinking 
spirituous  liquors  require  Niix  vomica.  If  the  countenance  ia 
pale,  if  there  is  a  sensation  of  choking  and  drooping,  a  few  drops 
of  spirits  of  camphor,  on  sugar,  or  diluted  with  water,  may  be 
administered.  Should  any  symptoms  remain,  such  as  headache, 
or  rush  of  blood  to  the  head.  Belladonna  or  Glonoine  will  be 
beneficial;  for  very  acute  pains,  Bryonia;  for  affections  of  the 
stomach,  fever,  &c.,  Carbo  vegetabilis  or  Arsenicum. 

For  long  standing  disorders  of  the  stomach,  caused  by  drink 
ing  ice- water  in  the  summer,  attended  with  great  weariness,  little 
appetite  •;  if  whatever  food  is  taken  lies  like  a  weight  on  the 
stomach,  or  is  thrown  off'  again,  sometimes  with  a  sour  taste, 
with  soreness  of  the  stomach  upon  pressure;  if  the  stomach  and 
abdomen  are  distended  by  wind,  the  flatulency  becoming  very 
troublesome,  the  symptoms  growing  worse  in  the  open  air,  Carho 
vegetabilis  will  be  serviceable. 

If  there  are  pains  in  the  stomach,  or  other  symptoms  arise  in 
consequence  of  having  swallowed  pieces  of  ice,  as  children  are 
apt  to  do,  Arsenicum  will  be  the  remedy,  or  Pulsatilla. 

Arsenicum  may  be  administered  in  cases  of  oppressive  weight 
on  the  stomach,  with  a  burning  sensation  confined  to  a  small 
spot,  or  extending  over  the  stomach  or  abdomen,  with  great 
anxiety  and  disquietude  indicated  by  the  countenance  ;  tongue 
dry ;  continual  thirst;  every  thing  having  a  saltish  taste  ;  nausea 
produced  by  motion,  or  after  drinking,  even  to  vomiting  and 
throwing  up  of  bile. 

Pulsatilla,  if  the  affection  in  the  stomach  and  the  pit  of  the 
stomach  is  of  a  spasmodic  nature,  worse  after  eating,  in  some 
cases  attended  by  vomiting;  the  countenance  expressing  rather 
a  disposition  to  cry;  the  tongue  slimy,  taste  insipid;  no  thirst; 
nausea  after  eating  and  drinking,  worse  in  the  afternoon  and 
evening,  with  sour  rising,  sometimes  of  wind  only,  retaining  the 
tastn  of  what  the  patient  has  eaten. 


32  THE   MOST   COMMON   CAUSES   OF   DISEASE. 

The  same  remedies  will  answer  in  afTections  of  the  stomach,  prrdiiced  by 
eating  cold  fniif,  ire-cream  and  tlie  like. 

Every  body  should  be  able  to  drink  milk,  and  if  it  does  not  agree,  it  is  an 
indication  that  there  is  soniothing  wrong  about  the  stomach.  If  it  produces 
a  sour  taste  in  the  mouth  or  costiveness,  give  iV/(a;  w^w)!  v/ ;  if  pains  in  the 
bowels  and  diarrhoea,  Bn/fmia  ;  and  if  there  is  rising  and  vomiting  of  plilegm, 
Sulphur;  if  it  produces  long-lasting  nausea,  Calcarea. 

Persons  who  feel  indisposed  after  drinking  malt  liqu,ors,  will  do  well  to 
refrain  from  them,  at  least  from  the  stronger  kinds,  which  sometimes  owe 
their  strength  and  bitterness  to  injurious  drugs.  But  if  the  head  should  become 
too  easily  atfected  after  drinking  good  beer,  &c.,  take  Rhus ;  if  useless,  take 
BeUadiDiua.  If  the  beer  causes  vomiting,  take  Ferrum;  if  nausea,  Arsenicum ; 
if  colic,  Coloci/iifh. 

Whoever  feels  indisposed  after  drinking  brandy,  may  congratulate  himself: 
the  best  and  most  salutary  advice  we  can  give  him  is — to  let  it  alone. 


CHAPTER   V. 


CONSEQUENCES    OP    SPIRITUOUS    LIQUORS,    COFFEE,  TEA, 
TOBACCO.    ACIDS,    &c. 

Intoxication. 

Habitual  drunkenness  is  a  ruin  to  individuals,  a  calamity  to  families,  and 
a  serious  loss  to  a  nation,  it  is  therefore  no  wonder,  that  benevolent  minds  have 
proposed  remedies  to  prevent  such  great  evils  ;  neither  is  it  astonishing  that 
many  who  are  as  ignorant  of  history,  as  of  the  laws  of  life  of  man  and  nations, 
should  run  mad  with  a  most  fanatic  opposition  to  alcohol,  bundling  up  with 
it  all  kinds  of  malt  liquors,  and  even  the  most  noble  of  all  the  productions 
of  nature,  the  wine. 

Ministers,  as  ignorant  of  the  original  language  of  the  gospel,  as  of  the  most 
common  laws  of  chemistry,  told  their  flock,  that  the  wine,  mentioned  in  the 
New  Testament,  was  only  grape-juice,  not  fermented,  and  not  "intoxicating." 
They  do  not  know  that  the  word  used  there  for  drunkenness  is  derived  from 
the  word  meaning  fermented  wine.* 

The  history  of  the  human  race  proves  most  clearly,  and  without  a  single 
exception,  that  there  never  was  in  any  nation  a  popular  development  of 
science,  literature  and  the  fine  arts,  until  after  the  introduction  of  the  culture 
of  the  grape-vine,  or  (like  in  England  or  Sweden)  after  a  facilitated  importa- 
tion of  wine. 

The  latest  chemical  analyses  have  also  proved,  that  wine  contains  combi- 
nations of  phosphorus,  which  is  a  most  important  nourishment  of  the  bruin 
and  upon  which  its  highest  development  depends. 


*  In  the  New  Testament  the  word  used  for  wine  is  otvoi,  which  means  fer- 
mented wine;  the  word  for  uu  fermented  grape-juice  is  yXfvzos ;  the  word  for 
irunkenness  is  oivuaij,  signifying  that  the  drunkenness  is  hom  fermented  wine. 


CHAP.  V.     CONSEQUENCES  OF  SPIRITUOUS  LIQUORS,  ETC.  33 

For  the  individual,  wine  may  not  be  a  condition,  without  which  no  j^reat 
works  of  the  mind  can  be  pn-duced,  but  it  is  so  witli  nations.  No  ijreat  minds 
can  arise  in  a  nation,  in  which  there  is  not  a  large  number  of  men  of  great 
brains. 

Hence  the  religion  of  the  Jews  acknowledges  the  grape-vine  as  a  gift  of 
God  after  the  flood,  to  prevent  another  sinking  of  thp  human  race. 

Hence  in  the  religion  of  the  Christians,  the  wine  is  holy  as  an  indispensable 
link  between  the  Lord  and  mankind. 

Hence  only  Mahomedanism  forbids  the  use  of  wine,  of  course  without  any 
good  effect  whatever,  but  introducing  the  use  of  opium,  hemp-juice  and  other 
dangerous  substitutes. 

Hence  the  natural  want  of  wine  promotes  the  dangerous  use  of  alcohol  and 
with  it  drunkenness. 

All  intelligent  travellers  agree  in  allowing  that  drunkenness  is  by  no  means 
common,  nay,  that  it  is  a  rare  thing  in  wine-producing  countries.  'J'hus  the 
true  remedy  against  a  popular  inclination  to  drunkenness  would  be  with  every 
wise  law-giver  to  favor  the  consumption  of  wine  by  facilitating  the  home-pro- 
duction and  the  importation  of  wine. 

As  all  products,  depending  on  sun.  soil  and  the  seasons,  have,  according 
to  every  experience,  been  injured  by  the,  here  erroneously  called,  protective 
tariff — so  has  it  also  injured  the  production  of  wine. 

Notwithstanding  that  it  is  a  most  important  rule  in  political  economy  to 
protect  what  is  produced  by  hand,  and  that  this  protection  is  the  only  preven- 
tive and  cure  of  the  distress  in  trade  and  business,  called  "  a  crisis,"  and 
ilthough  a  steadily  increasing  tariff  on  all  the  results  of  work  by  hand,  (in- 
cluding coal  and  iron  as  brought  to  use  by  hands  only,)  is  the  main  condition 
of  a  healthy  national  life — every  tariff  on  any  product,  depending  on  sun,  soil 
ar  d  the  seasons,  has  and  will  invariably  injure  both  the  producer  and  consumer. 

Wme,  like  wool,  grain,  fruits,  meat,  fish,  &c.,  the  mure  it  is  used  the  more 
it  will  be  produced  or  imported ;  the  prices  are  easily  regulated  by  free  trade, 
and  preserved  from  artificial  and  convulsive  increases  and  decreases.  It  is 
the  tariff  that  creates  and  favors  the  usurious  monopolizers  of  all  the  neces- 
sities of  life,  the  cancerous  tumors  between  the  producer  and  consumer.  But 
the  effect  on  wine  is  still  worse,  it  causes  and  promotes  its  adulteration  and 
artificial  imitation,  not  only  destroying  its  good  effects,  but  spreading  diseases. 
Free  trade  in  wine  and  all  other  eatables  and  drinkables  would  promote  the 
health  of  a  people  more  than  any  thing  else  ;  the  general  use  of  cheap  and 
good  wine  would  witliin  one  generation  do  away  with  nearly  all  drunkenness. 
It  would  be  a  homoeopathic  cure  of  this  great  evil,  a  truly  statesman-like 
movement.  But  some  statesmen  are  like  short-sighted  aHoeopathists,  they, 
like  the  celebrated  Dr.  SanGrado,  purge  and  bleed  the  people  and  try  to  cure 
by  "the  hunger-cure,"  making  the  evil  worse,  of  course. 

The  most  senseless  attempt  of  preventing  drunkenness  in  a  nation,  the 
notorious  Maine  Liquor-Law,  is  a  thing  dead  and  gone  by,  and  every  man  of 
sense  is  now  ashamed  of  it.  It  was  an  absurdity  greater  than  Mahomed's,  tc 
expect  the  slightest  good  results  from  such  a  nonsensical  "You  shall  not." 
It  would  be  inexplicable  how  such  a  mania  could  have  raged  like  a  mental 
epidemic,  if  not  "  all  who  know"  the  leaders  of  this  great  motion  were  very 
well  aware  that  more  than  ninety-nine  per  cent,  had  objects  in  view  entirely 
different  from  "Temperance."  It  was  the  Anti-Masonic  movement  over 
again. 

The  pitiful  condition,  drunkenness,  in  which  we  still  see  so  many  persons, 
needs  no  description.  Every  one  knows  that  however  drunk  a  person  may 
be,  the  best  way  is  to  let  him  sleep  it  off;  but  sometimes  it  may  be  necessary 
d 


S4  THE  MOST  COMMON  CAUSES   OF  DISEASE. 

to  restore  him  sooner — at  least  so  far  that  he  can  be  removed.  The  best 
remedy  is  an  external  application  of  cold  water.  If  a  person  is  lying  in  the 
road,  throw  the  coldest  water  that  can  be  procured  over  him  :  if  this  does 
not  succeed,  throw  water  upon  him  by  the  buckets  full,  from  a  height  of 
several  feet,  so  as  to  hit  him  with  great  force.  If  he  is  vomiting  and  retching 
give  him  coffee  without  milk,  as  much  as  he  will  drink  and  very  hot. 

If  he  is  not  quite  so  far  gone,  a  cloth  dipped  in  cold  water,  and  wrappca 
round  the  abdomen  and  loins,  and  applied  to  the  neck  and  back  of  the  head 
may  afford  relief. 

It  is  often  possible  to  restore  an  intoxicated  person  to  the  complete  pos- 
session of  his  senses,  by  making  him  drink  a  cup  of  strong  black  cotlVe. 
Strong  tea  is  better  for  drunkenness  from  malt  liquor;  and  a  bitter  almood 
if  from  wine.  Drunkenness  from  alcohol  has  been  lessened  by  strong  fait 
water. 

If  the  face  of  a  drunken  man  has  a  purple  hue,  his  look  fixed  ; 
if  he  does  not  come  to  his  senses,  the  throwing  on  of  cold  wster 
producing  only  temporary  effect — if  the  muscles  of  the  face  are 
convulsed,  or  a  cramp  prevents  the  opening  of  the  mouth — apply 
a  piece  of  cloth,  dipped  into  cold  water,  to  the  head,  and  give 
Opmm  until  he  improves;  if  this  fails,  give  Aconite  or  Bella- 
donna. 

If  children  are  made  tipsy  by  thoughtless  or  vile  persons — or 
swallow  brandy  by  accident — wash  their  head  and  abdomen  with 
cold  water,  and  give  them,  every  quarter  of  an  hour,  a  teaspoon- 
ful  of  hot  water,  a  pint  of  which  had  been  poured  on  a  bitter 
almond.  If  they  do  not  soon  fall  into  a  sound  sleep,  give  Nux 
vomica.  If  they  fall  into  a  torpid  sleep,  with  snoring,  the  face 
red  and  the  head  hot,  give  Opium.  If  they  are  too  lively  and 
merry,  and  cannot  sleep,  Cofjea.  If  they  have  fever,  with  con- 
stant tossing  about,  give  Acanile,  and  if  this  does  not  remove  it 
in  two  hours,  give  Belladonna.  If  they  fall  into  convulsions, 
give  fir.st  Opium..^  if  this  does  not  answer,  Nux  vomica,  and  if  this 
fails,  Chamomilla. 

Many  femaks,  when  confined, drink  out  of  ignorance,  from  habit,  or  by  the 
advice  of  stupid  midwives  and  monthly  nurses,  spirituous  liquors,  to  obtain 
sleep  for  themselves  and  the  child.  This  is  a  horrid,  abominable  habit ;  they 
expose  themselves  and  their  child  to  the  greatest  dansrer  ;  and  if  not  attended 
by  immediate  bad  consequences,  it  may  cause  the  child  to  become  a  drunkard 
when  grown  up.  Under  these  circumstances,  give  to  the  mother  and  child 
the  above  mentioned  medicines. 

Besides  the  confirmed  drunkard,  there  are  others  who  only  once  in  a  while 
allow  themselves  to  be  led  astray,  and  who  are  ashamed  of  their  conduct 
ttfterwardg.     These  we  advise,  after  any  excess  of  this  sort,  to  put  a  few  glo- 


CHAP.  V.     CONSEQUENCES  OF  SPIRITUOUS  LIQUORS,  ETC.  3o 

bulos  0^  Nhx  vomica  into  a  glass  of  water,  to  stir  it  well,  and  to  drink  it  before 
going  to  bed ;  the  next  morning  they  may  take  other  remedies,  if  required. 

There  are,  however,  many  who  have  fallen  into  the  habit  of  drinking  fmm 
vexation,  grief  or  sorrow.  Their  own  conscience  will  tell  them  to  what  a 
horrid  alternative  they  have  had  recourse  ;  and  we  earnestly  exhort  them  not 
to  taste,  not  to  touch  a  drop  of  liquor  again,  under  any  pretext  whatever,  but 
to  force  themselves  to  drink,  daily,  several  glasses  of  cold  water,  and  to  take 
the  medicines  recommended  for  the  effects  of  drinking;  also,  the  medicines 
which  suit  for  vexation  and  grief. 

There  are  other  drunkards  who  are  driven  to  drinking  by  a  morbid  state 
of  their  system,  by  a  peculiar  kind  of  "dyspepsia."  These  deserve  our  com- 
passion ;  but  although  we  may  pity  them,  they  themselves  cannot  excuse  their 
habit  by  it.  For  some  other  morbid  state  urges  one  to  anger,  another  to 
laziness,  a  third  to  incontinence,  but  it  is  no  excuse  for  either.  Were  it  other- 
wise, every  one  might  find  a  ready  excuse  for  his  favorite  vice,  and  easily 
imagine  that  he  could  wash  off  his  impurity  in  a  sink.  When  the  passionate 
man  does  not  bridle  his  anger,  the  lascivious  his  cravings,  and  the  intemperate 
his  inclination  to  strong  drink,  their  morbid  sensiljilities  will  increase.  No, 
they  ought  to  pursue  a  course  directly  opposite.  He  who  is  given  to  anger 
should  constrain  himself  to  submit  even  to  unmerited  abuse ;  the  voluptuary 
should  repress  all  vicious  thought,  and  avoid  every  temptation ;  the  lazy 
should  work  until  he  is  perfectly  exhausted ;  and  he  who  longs  for  strong 
drink,  should  not  even  smell  brandy,  wine  or  beer. 

In  all  cases  of  that  disease  which  causes  a  morbid  desire  for  alcohol,  con- 
sult a  homoeopathic  physician.  If  that  cannot  be  done,  take  Sitlphur,  in 
water,  every  morning  during  a  week.  Should  the  desire  abate,  and  retura 
afterwards,  take  Nux  vomica  in  the  evening;  and  if  it  returns  again,  in  two 
or  three  days  after.  Sulphur,  in  water,  every  morning.  If  this  does  not  prove 
efficacious,  give  Arsenicum.  If  this  does  good  but  temporarily,  give  Nux 
vomica  one  day,  and  three  days  after,  Arsenicum. 

Some  cases  of  this  morbid  desire  for  alcohol  have  been  entirely  relieved  by 
Sulphuric  acid,  one  drop  of  which,  mixed  with  a  tumbler  full  of  water,  was 
taken  as  a  drink  every  morning  or  forenoon.  In  some  farail.es  they  have 
resorted  to  this,  even  without  the  knowledge  or  consent  of  the  drunkard,  they 
mixing  such  slightly  acidulated  water  with  all  his  food  and  drink.  There  is 
no  danger  if  he  gets  sick  from  it ;  the  diarrhoea  caused  by  it  may  be  easily 
relieved  by  Pulsatilla;  the  sore  mouth  by  Mercurius  or  Calcarea. 

Effects  of  Intoxication. 

After  drinking  too  much  in  the  evening,  sometimes  even  after  taking  but  a 
few  glasses  of  wine,  one  may  feel  unwell,  heavy  and  stupid  in  the  morning  ; 
with  another  the  face  is  pale  and  haggard ;  the  eyes  pained  by  the  light ;  the 
mouth  parched  and  rough  ;  nausea,  pains  in  the  pit  of  the  ston  ach,  hoarse- 
ness, heat  in  the  hands  and  soreness  in  the  limbs,  as  if  sprarneJ ;  some  are 
weak,  sleepy,  chilly,  languid,  cross  and  passionate  ;  sometimes  there  is  bleed- 
ing of  the  nose,  or  cramp  in  the  stomach  ;  in  such  cases  give  Carho  veyetabilis 
or  Nux  vomica. 

If  the  headache  is  throbbing,  or  attended  with  pressure  over  the  eyes,  or 
better  in  the  air.  Carlo  vegetabiUs;  if  worse  in  the  open  air,  and  more  in  the 
temples,  Nux  moschata. 

If  the  pain  is  attended  by  a  feeling  as  though  a  nail  were  lodged  in  the 
head,  and  is  O'l  one  side  only  worse  when  walking,  at  every  motion,  in  the 
open  air,  from  'thinking  and  stooping,  Nux  vomica. 


36  THE   MOST   COMMON   CAUSES  'OF   DISEASE. 

tf  there  is  only  nausea,  Carbo  vcgetahilis ;  an  inclination  to  vomit,  and 
retching,  Niix  vomica.  If  the  stools  are  thin  and  pale,  Carlo  vegeialilis.  If 
there  is  much  pressing  and  forcing,  with  slimy  purging.  Nux  vomica. 

If  there  is  niucli  giddiness,  red  eyes,  with  matter  in  the  corners,  great  sen- 
sitiveness to  the  light,  or  a  dry,  hacking  cough,  take  Nux  vomica. 

If  the  headache  does  no.t  abate  in  two  or  three  hours  after  taking  Nux 
vomica,  take  Cnjf'ta.  If  the  nausea  continues,  the  stomach  very  weak,  and 
the  tongue  furred,  take  Antimonium  crudinn. 

In  indisposition  from  the  repeated  use  of  wine  or  spirits,  which  has  already 
continued  for  some  time  ;  tedious  headache, fulness  and  heaviness  of  the  head, 
or  cramp  in  the  stomach,  weakness  of  the  stomach,  constipation,  piles,  pains 
in  the  back,  miliary  eruption,  or  much  itching  and  biting  over  the  whole  body, 
Nux  vomica,  in  the  evening ;  and  neither  wine,  spirits  nor  coffee  should  be 
used  during  the  next  day. 

If  Nux  vomica  should  fail,  Carbo  vegeiabilis  or  Lacliesis  may  be  taken  ;  the 
former,  if  the  symptoms  are  worse  early  in  the  morning,  or  in  the  open  air  ; 
the  latter,  if  they  are  worse  after  sleeping,  especially  in  the  afternoon,  and  if 
aggravated  by  hot  weather. 

For  tedious  headache,  Mhich  has  not  only  been  caused  by  intemperance,  but 
is  aggravated  by  drinking  spirituous  liquors,  by  thinking,  mental  application, 
speaking,  stooping,  after  reading  or  writing,  the  patient  is  very  weak,  give, 
if  he  is  plethoric,  Caicarea ;  if  of  a  spare  habit,  Sdicea. 

Do  not  repeat  the  dose  until  he  is  w^orse  again,  and  should  the  repetition 
fail,  give  Lachesis. 

If  the  effect  of  wine  is  only  to  irritate,  excite  and  produce  trembling,  with 
nervousness,  an  uncomfortable  dry  heat  and  splenetic  humor,  give  Cojf'ca. 

Delirium  tremens,  or  Maxia-a-i^otu. — lu  this  sad  and 
terrible  disease  of  drunkards,  with,  visions  of  animals,  monsters, 
strange  human  faces,  <Scc.,  attended  with  raging  and  raving,  fits 
and  convulsions,  instead  of  worr^'ing  the  unfortunate  being  with 
quantities  of  irritating,  weakening  drugs,  mix  a  drop  of  tincture 
of  Opium  with  a  tumbler  full  of  water,  and  give  him  of  this  a 
table-spoonful  every  five  or  six  hours,  or  Ljt  him  drink  the  whole, 
and  repeat  it  as  often  as  the  attack  returns. 

If  the  attacks  are  less  severe,  the  patient  only  seeing  animals 
or  fire  at  intervals,  with  fearfulness  and  a  wish  to  escape,  give 
Belladonna. 

If  this  should  afford  no  relief,  if  the  throat  is  affected,  the 
attacks  appearing  more  in  the  afternoon,  or  after  sleeping,  the 
patient  talks  much,  flying  from  one  subject  to  another,  cannot  bear 
his  shirt  or  neckhandkerchief,  but  strives  to  have  them  removed, 
Lachesis. 

Cold  sweat  in  the  face,  anxious  desire  to  run  awav,  visious 
of  devils,  etc.,  Yeratrum. 

r'-emoniiori/ symjiloms,  as  seeing  creeping  animals;    turning  of  the  head 


CHAP.  V.     CONSEQUENCES  OP  SPIRITUOUS  LIQUORS,  ETC.  37 

sideways  as  if  to  look  for  something  ;  hearing  of  voices,  &c.,  may  lead  to  the 
prevention  of  the  attacks,  either  by  Arsenicum  or  Calcarea. 

Ar-senicum  for  lean  persons,  tobacco  chewers  ;  if  they  hear  the  voices  of 
relatives  or  others,  generally  overhead,  in  the  corners  of  the  room,  up  or 
down  stairs  ;  see  insects  creeping  in  the  bed  ;  see  the  room  full  of  thieves  or 
spectres  ;  are  driven  by  anguish  out  of  bed  ;  fear  to  die  ;  especially  after  great 
grief  or  pangs  of  cont^cience. 

Calcarea  for  persons  of  a  full  habit,  so  called  "  free  livers,"  more  nervous 
and  irritable ;  despair  of  the  state  of  their  own  health  ;  fear  of  getting  cra?;y  ; 
sleepless  ;  horrible  visions  most  always  when  shutting  the  eyes. 

The  same  remedies  ought  to  be  given  after  the  attacks  are  over,  according 
to  the  symptoms,  but  in  many  cases  they  have  only  affected  a  cure  when  given 
in  but  one  dose,  waiting  for  weeks  afterwards  without  giving  anything  else. 

Total  abstinence  is  absolutely  required  ;  cold  water,  not,  however,  ice  watei*, 
should  be  drunk  freely.  If  the  patient  desires  it,  the  very  moderate  use  of 
malt  liquors,  and  also  of  tobacco,  may  be  allowed.  If  the  latter  increases 
the  symptoms,  Ar.-ieuicum  must  be  given,  and  taking  suuft'  only  may  be 
allowed.  If  premonitory  symptoms  of  apoplexy  appear  in  drunkards,  total 
abstinence  from  malt  liquors  and  tobacco  is  necessary,  and  Belladonna  or 
Lac/iesis  may  be  given.  In  all  such  cases  a  homoeopathic  physician  had 
better  be  consulted. 

Bad  effects  of  Coffee 

In  persons  not  accustomed  to  coffee,  who  have  taken  it  too  strong  or  too 
much  of  it,  may  be  removed  as  follows  : 

For  sleeplessness,  palpitation  of  the  heart,  great  irritability  of  the  nervous 
system,  violent  spasms  in  the  stomach,  iVwx-  vomica  almost  always  suffices. 

For  violent  headache,  as  if  a  nail  were  driven  into  the  head,  or  heaviness, 
rending  pain  in  the  head,  give  Icjnatia  or  iV/(a;  vomica.  If  it  is  better  when 
stooping,  or  if  there  is  a  throbbing  in  the  whole  head,  if  the  patient  is  of  an 
nndecided,  inconstant  disposition,  Ljnatia  ;  if  worse  when  stooping,  or  walking, 
attended  with  much  giddiness,  confusion  and  heaviness  in  the  head,  and  the 
patient  of  a  choleric  temperament,  Nux  vomica. 

Violent,  one-sided  headache,  yields  usually  to  Nux  vomica  ;  but  with  weep- 
ing and  screaming,  and  great  sensitiveness,  to  ChamomiUa. 

Tedious  effects  from  the  too  frequent  use  of  coflee  may  be  removed  by  the 
same  medicines.  Nux  vomica  is  the  principal  one;  if  it  does  not  suffice, 
Cojj'ea  may  sometimes  be  given,  and  then  Nux  vomica  again. 

Frequent  toothache  following  immediately  upon  drinking  coffee,  generally 
yields  to  Chamomitla.  If  so  violent,  that  the  patient  is  almost  beside  him- 
self, give  C'llJia  and  afterwards  ChamomiUa;  the  following  medicines  may 
also  be  required  :  Coccalus,  Belladonna,  Mercuriuo;  Carbo  vec/elabilis,  Bulsa- 
tilla  and  Rhus.     Compare  "Toothache." 

Violent  spasms  in  the  stomach,  if  worse  after  drinking  coffee,  Nux  vomica 
or  Coccidun ;  if  temporarily  relieved  by  coffee,  but  worse  afterwards, 
Cha?tiomilla. 

Violent  pain  in  the  bowels,  or  colic,  Chamomilla  or  Nux  vomica;  frequently 
Colociinihis  or  Bedadonna. 

Pain  in  tlie  groins  as  if  a  hernia  was  going  to  appear,  is  relieved  by  Nux 
vomica. 

If,  after-  the  habit  of  drinking  coffee  has  been  abandoned,  the  above  tedious 
effects  will  not  yield  to  Nux  vomica  and  ChamomiUa,  the  following  remedies 
a^e  sometimes  useful  : — 


So  THE   MOST   COMMON  CAUSES    OF   DISEASE. 

Cocaihts,  when  every  motion  is  attended  by  debilitating  perspiration,  fre- 
qnent  trembling  ;  starting  when  asleep ;  sudden  heat ;  frequent  toothache 
when  eating;  lightness  in  the  head;  sadness;  agitation;  when  every  indis- 
position is  aggravated  by  fresh  air,  exercise,  eating,  drinliing,  sleep,  or 
smoking. 

Ljnatia,  when  there  is  much  debility  ;  emptiness  in  the  pit  of  the  stomach; 
frequent  spasms  in  the  abdomen  ;  painfulness  or  falling  asleep  of  the  limbs, 
generally  pressing  as  from  hard  pointed  substances,  the  pains  oblige  the 
patient  to  shift  bis  position  constantly,  after  which  he  feels  better  ;  the  dis- 
position is  inconstant,  sometimes  excessively  lively,  at  others  depressed  and 
inclined  to  weeping. 

If  these  remedies  do  not  bring  about  a  favorable  change,  consult  a  homoeo- 
pathic physician. 

Effects  of  Tea  drinking. 

For  indisposition  from  green  tea,  take  Coffea  or  Ir/naiia,  and  if  it  does  not 
improve  in  half  an  hour,  China.  For  tedious  complaints  from  tea,  China  or 
Ferrum. 

Effects  of  Tobacco. 

To  persons  unaccustomed  to  smoking  who  suffer  much,  give  PtilsatiUa ; 
for  violent  headache  and  nausea.  Aconite  ;  giddiness  and  dizziness  to  fainting, 
vomiting  of  bile  and  diarrbcea,  ChamomiUa ;  and  if  not  sufficient,  and  there 
is  much  coldness,  Veratrum  ;  if  this  will  not  answer,  let  them  smell  camphor. 
Violent  convulsions  and  other  symptoms  may  be  removed  by  Cupnan  or 
Coccuhis.     See  "  Poisoning." 

If  a  person  accustomed  to  smoking,  feels  unwell  after  it,  Coccnlus  or  L/natia 
will  generally  relieve  him.  If  it  occasions  toothache,  give  Bryonia  or  some- 
times China.  If  it  causes  sickness  of  the  stomach,  Ignatia  or  PuI.suliUa  ;  if 
uneasiness  and  nausea,  Slaphi>:a(iria.  The  same  remedies  may  be  given  for 
the  bad  effects  of  chewing  tobacco.  Knx  vomica,  ChamomiUa,  Pulsutilla  or 
Coccuius,  and  sometimes  Cxprnm  or  Arsenicrnn. 

Tedious  consequences  of  immoderate  smoking  or  chewing,  are  difficult  to 
cure ;  nervousness  and  weakness  of  the  stomach  are  generally  removed  by 
Nux  vomica  or  Coccuius;  habitual  constipation  by  Kux  vomica,  Slaphisar/ria, 
Mersurius.  The  diseases  to  which  those  who  manufacture  tobacco  are  sub- 
ject, cannot  be  removed  unless  the  patient  quits  his  employment.  He  should 
apply  to  a  homoeopathic  practitioner.  The  foregoing  remedies  may,  however, 
be  tried. 

For  fJie  ivjnriovs  effccfs,  occasioned  by  fpices,  such  as  pepper,  ginger  and  the 
like,  give  J\'ux  vomica  ;  if  from  nutmeg  or  safrou,  Ljnatia,  or  sometimes  Opium 
or  Coffea. 

Injurious  Effects  of  Sour  Food. 

If  the  bad  consequences  appear  suddenly,  they  are  relieved  by  i\*i/x  vomica, 
If  diarrhoea  sets  in  at  night  or  during  the  night ;  if  in  the  day  time,  by  Anti- 
mouium  crudinn  ;  with  pain  in  the  bowels,  by  Staphimgria  and  warm  broth; 
by  Belladonna  if  head  and  chest  are  affected  ;  by  Veratmm  if  accompanied 
by  much  coldness ;  by  Lachesis  if  fever  follows.     Red  eruptions  like  scarlatina 


J 


CHAP.  VI.      EFFECTS  OF  THE  MEDICINES  HITHERTO,  ETC.  39 

or  rash,  with  pains  in  the  throat  from  oi'anges,  lemons,  or  other  sour  fruits, 
are  cured  by  Belladonna  or  Rhus.  Lon?  lastingr  consequences  are  relieved 
by  Cdlcarea  or  Caiisiicuni,  according  to  the  symptoms. 

Other  symptoms  from  the  use  of  sour  things  may  yield  to  Arseninim  or 
Sulphur.  Arsenicum  for  persons  who  have  too  much  appetite  and  eat  too 
much  ;  Sulphur  for  such  who  have  a  constant  craving  for  sweet  things.  When 
acids  aggravate  the  symptoms  of  a  case,  give  Belladonna  or  Lachenis. 

If  a  craving  for  acids  and  sour  food,  Ar.senicuni,.  Arnica,  Belladonna,  China 
or  Lachesis.  Arsenicum  if  there  is  a  loathing  of  all  except  sour  food.  If  the 
craving  is  merely  for  sour  drinks,  give  Bryonia;  Natrum  niuriaticuni.  for  con- 
stant sour  taste. 

For  heart-burn  and  vomiting  after  sour  victuals,  give  Ferrum  ;  for  vomiting 
of  a  watery  fluid  after  the  use  of  acids.  Phosphorus. 

For  disordered  stomach  from  acids,  Arsenicum  or  Lachesis,  in  obstinate 
cases  alternately. 

For  diarrhoea  from  the  use  of  acids  and  sour  fruits,  Lachesis  ;  if  from  fruits 
merely,  China. 

See  Chapt.  lY.  Part  I. 


CHAPTER   VI, 


EFFECTS  OF  THE  MEDICINES  HITHERTO  IN  GENERAL  USE, 
AND   REMEDIES  TO  COUNTERACT  THESE  EFFECTS. 

When  sudden  and  dangerous  symptoms  appear  after  administering  a  dose 
of  physic,  we  may  take  it  for  granted  that  the  patient  is  poisoned,  and  we 
must  look  under  the  head  of  "  Poisoning."  There  is  no  poison  in  the  world 
which,  by  the  old  system  of  medicine,  has  not  been  tried  on  sick  persons  as  a 
remedy.  Vegetable  poisons  are  often  more  rapid  and  violent  in  their  action 
than  mineral  poisons,  and  produce  the  same  strong  and  lasting  bad  effects. 
Animal  poisons  are  even  more  violent  than  vegetable  poisons.  The  boasts 
of  nostrum  venders  i-especting  the  innoxious  effect  of  their  alleged  vegetable 
medicines,  are  nothing  but  deception  and  humbug. 

It  is  true,  there  are  some  herbs  which  do  not  produce  any  dangerous  effects, 
and  some  medicines  are  not  very  injurious ;  but  even  these  should  not  be 
given  without  due  consideration,  nor  in  large  quantities  for  any  length  of 
'time.  For  it  is  certain,  that  if  you  give  the  proper  medicine,  very  Httle  will 
suffice,  and  if  you  give  an  improper  one,  the  larger  the  dose  the  more  inju- 
rious it  will  prove. 

In  large  and  frequently  repeated  doses  every  medicine  may,  therefore,  be 
considered  a  poison.  Many  children  have  died  of  chamomile  tea;  and  more 
people  are,  even  now,  killed  by  quinine  than  by  the  fever  and  ague.  Formerly 
the  cause  of  their  death  was  not  known,  and  the  thing  was  called  by  a  different 
name.  Of  a  hundred  persons  who  die  of  dropsy,  eighty,  at  least,  have  been 
made  dropsical  by  bleeding  and  the  irrational  administering  of  drugs.  Ask 
only,  how  often  such  persons  have  been  bled,  or  what  quantities  of  medicine 
they  have  swallowed,  such  as  calomel,  quinine,  cathartics,  sulphur,  iron,  laud- 
anum and  other  narcotics,  and  you  will  see  how  the  dropsy  has  originated. 


40  THE   MOST   COMMON '  CAUSES   OF   DISEASE. 

When  a  person  has  taken  snch  vile  ira^^h.  or  given  it  to  children  upon  the 
recommendation  of  physicians  or  apothecaries,  the  evil  may  be  remedied  by 
observing  the  following  directions  : 

Herb  Teas 

As  chamomile  and  similar  ones  ;  if  they  cause  a  great  deal  of  pam,  or  if  they 
increase  the  jiains,  which  the  patient  had  before,  give  Coff-'a,  and  afterwards, 
if  required,  Xux  vnnica;  for  nausea,  vomiting  and  diarrhoea,  Pulsatilla;  Pul- 
satilla also  if  chamomile  tea  has  increased  the  colic  and  other  pains  of  females 
at  the  commencement  of  the  courses.  If  it  has  caused  violent  fits  and  con- 
vulsions in  children,  give  Ljnatia:  for  fever  and  heat  with  great  sensibility 
and  excitement,  Coffm ;  for  fever,  heat,  tearing,  drawing  pains,  less  when 
moving.  Aconite. 

Opium  or  Laudanum 

Often  produces'  dangerous  consequences  ; — see  what  is  said  about  it  under 
"  Poisons."  Results  arc  produced  by  it,  which  were  not  anticipated,  particu- 
larly when  an  ignorant  practitioner  applies  it  in  injections,  where  its  effects 
are  often  more  powerful  than  when  taken  into  the  stomach.  For  the  linger- 
ing effects  of  laudanum,  which  never  fail  to  appear,  sooner  or  later,  ask  tho 
advice  of  a  physician.  It  will  be  well  to  give,  from  time  to  time,  Coffea  and 
sometimes  Merctirius,  which  should  be  allowed  to  operate  a  week,  or  longer 
Sometimes  Nux  vomica  or  Belladonna. 

Peruvian  Bark,  Quinine,  &c., 

Next  to  opium  and  mercury,  most  frequently  undermine  the  constitutiou, 
and  occasion  incurable  diseases.  Should  the  patient  escape  death,  he  will  be 
troubled  for  years  by  the  effects  of  bark.  It  is  more  difficult  to  expel  quinine 
from  the  system,  than  mercury  ;  and  he  who  pretends  that  this  can  be  effected 
by  cathartics,  is  utterly  ignorant  of  pliysic.  It  enters  the  blood  and  all  the 
fluids,  and  no  purging  in  the  world  will  remove  it. 

To  relieve  the  patient  from  its  effects,  will  require  patience,  but  it  may  be 
gradually  accomplished  by  the  following  means.  The  chief  medicine,  in  most 
cases,  is  Ipecacuanha. 

For  rheumatic  pains,  heaviness,  prostration,  soreness-  in  all  the  limbs, 
drawing  pain  in  the  bones,  great  sensitiveness  of  every  part  of  the  body ; 
when  exercise,  speaking,  blowing  the  nose  or  loud  sounds  aggravate  the  pains, 
give  Arnica. 

When  the  body  is  cold,  with  cold  perspiration,  constipation  or  diarrhoea, 
Veratrnm.  For  consumptive  cough  and  expectoration,  let  the  patient  drink 
an  infusion  of  Iceland  moss.  For  jaundice  give  Mercurius,  and  later,  perhaps, 
Belladonna. 

For  heat  in  the  face,  determination  of  blood  to  the  head,  much  pain  in  the 
head,  face  and  teeth,  give  Belladonna.  For  earache,  Pidsatilla.  For  swelling 
of  the  feet  Ferrum.  For  ulcers  on  the  legs,  dropsy,  short  cough  and  short- 
ness of  breath,  Arxenicum.     For  dropsy  and  other  swellings,  Rhus. 

If  there  are  other  complaints,  look  under  the  respective  heads,  and  select 
the  medicine  accordingly;  the  following  will  in  many  cases  be  found  pre- 
ferable :   Sulphur,  Calcarea,  Carho  rcgelabtlis,  China. 

When  bark  has  been  given  in  intermi'tent  fever,  and  the  disease  has  been 


CHAP.  VI.      EFFECTS  OF  THE  MEDICINES  HITHERTO,  ETC.  41 

bungled,  another  and  worse  complaint  than  the  fever  makes  its  appearance  ; 
or  the  fever  remains,  and  is  now  more  difficult  to  cure. 

If  the  fever  has  been  suppressed,  and  earache,  toothache,  headache  and 
pains  in  the  limbs  make  their  appearance,  give  Fulsati/la,  and  if  this  fails, 
Calcarea.  For  affections  of  the  stomach  give  Ipecacuanha  or  PuIsailUa  ;  for 
swelling,  Arnica,  Arsenicum  or  Fernnn,  and  select,  according  to  circumstances 
one  of  the  remedies  recommended  above. 

If  the  intermittent  fever  continues,  as  it  often  does,  notv,-ithstanding  large 
quantities  of  bark  or  quinine  may  have  been  taken,  give  first  Ipecacuan/ni, 
which  will  mostly  prove  efficacious  :  afterwards,  if  required,  Arsenicum  or 
Carbo  vegi'tabilis ;  sometimes  Cliina,  Veratrum,  Arnica;  and  sometimes  Bel- 
ladonna, Mercurius,  Sulphur  and  Culcarea  will  efJ'ect  a  cure. 

Other  Drugs. 

When  the  mixtures  which  the  unfortunate  patient  had  to  swallow,  con- 
'tained  Conium  or  Cicuta,  Digitalis,  Laurocerasus  or  Acidum  Hydrocyanicum, 
it  is  sometimes  scarcely  possible  to  save  him,  unless  a  good  constitution 
throws  it  off,  assisted  by  proper  living,  fresh  air  and  the  drinking  of  much 
water. 

After  taking  Digitalis,  even  in  small  doses,  if  continued  for  a  time,  danger- 
ous symptoms  very  often  follow  suddenly,  which  are  generally  relieved  by 
repeated  smelling  of  camphor,  sometimes  by  vinegar  or  wine  in  drop  doses. 
Smelling  of  ether  or  chloroform  makes  them  worse.  Later,  according  to 
circumstances,  Glonoine,  Opium,  Nux  vomica  or  Ignalia.  Be  careful  not  to 
give  China. 

Persons  who  have  swallowed  much  Assafcetida,  or  much  Valerian  and 
other  drugs  which  enter  largely  into  the  composition  of  some  quack  pills,  are 
generally  in  a  very  critical  situation.  China  or  Mercurius  sometimes  oun- 
teracts  the  effects  of  Assafcetida  ;  Coffea,  Nux  vomica,  Chamomilla  or  Sulphur 
those  of  Valerian  ;  Pulsatilla  and  Nux  vomica  those  of  Colchicum  ;  the 
very  dangerous  diarrhoea  from  large  doses  of  this  so-called  remedy  for  the 
gout,  will  be  relieved  by  a  few  drops  of  the  tincture  of  opium,  one  drop  to 
be  taken  every  half  hour,  five  or  six  times.  Belladonna,  Bri/onia  and  Arnica 
those  of  Senega  ;  Mercurius  or  Belladonna  those  of  Sarsaparilla. 

If  a  person  feels  bad  effects  soon  after  the  application  of  a  blister  of  spurge- 
laurel  (mezereum,)  let  him  first  smell  camphor,  and  afterwards,  if  these  effects 
appear  in  the  mouth  or  in  the  bones,  give  Mercurius;  and  if  they  appear  more 
in  the  limbs,  Bryonia  or  Rhus. 

If  the  application  of  Spanish-flies  produces  bad  symptoms,  let  the  patient 
smell  camphor  frequently,  and,  if  this  does  not  counteract  them,  give  Acoiiite 
or  Pulsatilla. 

When  children  have  taken  much  rhubarb,  and  are  consequently  troubled 
with  much  flatulency  and  slimy  diarrhoea,  give  Nux  vomica;  if  they  have 
sour  vomitings  during  the  night,  clayey  stools  and  diarrhoea,  Pulsatilla;  if 
they  have  sour  stools,  green  or  mixed  with  blood,  Mercurius ;  bad  colic  and 
green  evacuations,  Chamoviilla ;  and  if  the  colic  does  not  get  better, 
Colocyntli. 

Effects  of  Magnesia. 

If  a  person  has  taken  magnesia  and  feels  poorly,  particularly  after  calcined 
magnesia,  let  him  smell  sweet  spirits  of  nitre ;  if  he  cannot  sleep,  give  CoJ'ea  , 


4:2  THE   MOST   COMMON   CAUSES   OF   DISEASE. 

if  it,  produces  violent  pains  in  the  bowels,  Chamomilla ;  and  if  they  are  very 
bad,  without  much  or  any  evacuation,  give  Colocyidh  ;  if  no  evacuation  follow? 
in  twenty-four  liours,  give  Nux  roviicu;  if  the  patient  has  violent  pains,  and  is 
burning  with  fever,  give  Arsenicum ;  but  if  the  magnesia  has  [iroduced  sour 
thin  purging  with  colic,  Jlheum  ;  and  if  this  fails,  FulsaiiUa.  The  same  reme- 
dies should  be  given  if  similar  effects  are  produced  by  Epsom  salts. 

Effects  of  Sulphur  and  Iodine. 

The  effects  of  sulphur  are  occasionally  as  bad  as  those  of  mercury,  and  the 
tedious  complaints  which  it  produces  as  difficult  to  cure.  If  a  person  feels 
unwell  soon  after  having  used  it,  he  should  smell  camphor;  if  this  does  not 
relieve  him  and  when  the  pains  are  violent,  particularly  in  the  head,  accom- 
panied by  heat,  let  him  take  Aconite;  later,  when  the  complaint  has  become 
tedious,  Mercurius  or  Pnlsidilla,  and  sometimes,  according  to  circumstances, 
Silicca.  For  the  bad  effects  of  sulphurous  vapors  from  the  lighting  of 
matches,  from  which  children  often  get  coughs,  shortness  of  breath  and  pains 
in  the  throat  and  chest,  Pulsatilla  is  the  best  remedy. 

If  sul|)hur  has  been  given  to  children,  in  conformity  to  a  notio.n  of  its  bene- 
ficial effects  entertained  by  some  parents,  especially  in  the  spring  of  the  year, 
and  it  had  occasioned  fever,  with  cutting  pains  in  the  bowels  ;  or  if  eruptions, 
for  which  it  was  given,  should  have  been  suppressed,  or  when  very  painful  boils 
ensue.  Belladonna  is  very  often  efficient;  care  is,  however,  to  be  taken  after- 
wards, to  guard  the  children  from  taking  cold,  not  by  keeping  them  in  warm 
rooms,  but  by  preventing  their  being  in  draughts,  or  sitting  on  the  ground,  &c. 

AVhen  patients  suffer  from  iodine  or  iodide  of  potassium,  administered 
as  it  usually  is,  in  large  doses  and  for  a  long  time,  give  Hepar,  3rd  trit. 

Effects  of  Mercury. 

This  is  the  universal  elixir  of  the  quacks  in  all  diseases,  who,  whilst  they 
pretend  to  restore  their  patients  to  health,  destroy  their  constitutions.  It  is 
administered  as  calomel  in  powders,  or  dissolved  as  corrosive  sublimate,  or  in 
pills — those  abominable  blue  pills.  Beware  of  all  prescriptions  in  which 
names  like  the  following  occur:  Calomel,  Merc.  subl.  conos.,  Merc,  prae- 
cipit..  Hydrargyrum,  Hydrarg.  chloridum.  Hydrarg.  bichlorid.,  Argent,  viv. 
People  are  frequently  imposed  upon  by  being  told  that  mercury  can  be 
expelled  again  by  taking  aperient  medicines  after  it.  Those  who  hold  such 
language,  close  their  eyes  to  the  effects  which  ensue  from  taking  mercury ;  for, 
supposing  it  was  as  easy  to  remove  the  calomel  as  it  was  to  swallow  it,  the 
effect  produced  upon  the  body  will  certainly  remain  :  just  as  if  you  were  to 
drive  a  nail  into  a  man's  leg  and  then  pull  it  out  again — the  hole  will  remain, 
it  will  heal  after  a  while,  but  requires  time  and  a  rational  mode  of  treatment, 
or  the  consequence  may  be  very  serious.  To  give  aperient  medicines  then 
for  the  effects  of  mercury,  is  about  as  sensible  as  if  I  were  to  insert  a  wooden 
peg  in  the  wound  made  by  the  nail,  and  imagine  it  to  be  all  right  again. 

Mercury,  in  all  its  preparations,  however,  cannot  be  expelled  again  so  easily, 
and  least  of  all  by  purgatives,  as  it  immediately  pefietrates  every  part  of  the 
system,  the  fluids,  the  glands,  and  even  the  bones. 

This  is  the  reason  why  the  slow  poisoning  by  mercurial  medicines 'is  far 
more  difficult  to  cure  than  a  natural  disease  ;  it  always  requires  much  time, 
and  in  many  cases  mitigation  of  the  sufferings  is  all  that  art  can  effect  for  the 
patient 


CHAP.  VI.      EFFECTS  OF  THE  MEDICINES  HITHERTO,  ETC.  43 

In  most  cases,  immediately  as  well  as  long  after  taking  mercury  Hepar 
(3rd  trit.)  will  be  found  of  great  service,  particularly  for  the  following'  symp- 
toms :  headache  during  the  night;  loss  of  hair;  painful  lumps  on  the  head  ; 
inflamed,  red  eyes  ;  pains  in  the  nose  when  pressed  ;  eruption  round  the  mouth  ; 
phlegm  deep  in  the  throat ;  much  saliva  in  the  mouth  ;  ulcerated  gums  , 
swelled  tonsils  ;  hard  glands  on  the  throat ;  a  pricking  pain  when  swallowing, 
coughing,  breathing ;  vertigo  in  the  head  ;  inflamed  suppurating  boils  in  the 
groin  or  arm-pit,  or  small  ones  on  the  chest ;  thin  evacuations,  with  a  great 
effort,  sometimes  mixed  with  blood,  slimy  and  green  ;  the  urine  dark  red,  hot 
and  acrid  ;  coughing,  when  a  hand  or  foot  gets  cold,  or  after  drinking,  some- 
times accompanied  by  spitting  of  blood ;  whitlow,  or  other  red,  inflamed 
swelling  on  the  hands  and  fingers,  also  on  the  knee,  like  rheumatism  ;  the  skin 
does  not  heal  well ;  every  little  wound  or  scratch  suppurates  and  spreads  ;  the 
skin  of  the  hands  and  feet  bursts;  ulcers,  which  bleed  easily,  burn  in  the 
night,  with  throbbing  and  acute  pain  ;  chilly  in  the  air ;  in  the  night,  chills 
and  frequent  pains  in  the  limbs  ;  also  fever,  and  afterwards  clammy,  sour  per- 
spiration ;  the  patient  very  sensitive,  the  pains  almost  produce  fainting. 

It  is  advisable,  after  continuing  its  use  for  six  or  eight  days,  to  await  the 
effect  of  Hepar  for  some  days ;  if  it  produces  slow  improvement,  wait  a  fort- 
night ;  if  after  this  the  improvement  does  not  continue,  repeat  the  same 
medicine  ;  if  the  improvement  was  but  of  short  duration,  and  it  was  absolutely 
necessary  to  give  something.  Belladonna  would  be  the  best ;  the  same  will 
answer  when  Hepar  has  been  given  two  or  three  times,  once  every  fortnight, 
and  has  lost  its  efiScacy. 

For  complaints  of  the  mouth  and  throat,  for  swelling  of  the  tonsils,  and 
deafness,  give  Hepar  and  Belladonna, and  if  they  produce  no  change,  Staphits- 
agria. 

For  great  sensitiveness  to  the  weather ;  violent  pains,  particularly  during 
the  night,  worse  when  touched  ;  great  weakness  ;  when  the  patient  has  been 
debilitated  by  much  purging  and  salivation,  give  China;  and  if  this,  after  a 
week,  has  no  further  effect,  Carbo  vegetabilis,  particularly  if  change  of  weather 
makes  the  patient  worse. 

If,  after  taking  some  of  the  remedies  recommended  above, there  still  remain 
rending  pains  in  the  bones  and  gouty  swellings,  give  Dulcamara,  and  after- 
wards Fhospkoric  acid;  for  swellings  on  the  bones  (nodes),  F/tosphoric  acid, 
and  afterwards  Staphisagria ;  and  when  this  ceases  to  do  good,  Culcarea. 

If  these  medicines  have  been  taken  for  a  considerable  time,  and  the  com- 
plaint is  not  completely  removed,  try  Sulphur,  and  some  time  after,  one  of  the 
above  remedies  again.  If  Sulphur  gives  relief,  take  several  weeks  afterwards 
Culcarea,  and  after  that  some  other  suitable  medicine,  for  instance,  Luchesis. 

If  a  person  has  taken  much  mercury,  and  afterwards  sulphur,  it  will  be 
well  to  give  Mercurius,  and  then  Belladonna,  or  PalsatiUa. 

When  a  person  has  taken  much  mercury,  but  no  sulphur  after  it,  and  He- 
par  should  not  seem  to  be  quite  indicated,  according  to  the  foregoing  descrip- 
tion, give  Sulphur. 

In  tedious  complaints,  caused  or  aggravated  by  Mercury,  select  from  the 
following  ;  Hepar.  Belladonna,  China,  Phosphoric  acid,  Carbo  vetictablllf!,  DulC' 
amara,  Staphisagria,  Lachesis.  In  many  cases,  where  immediate  relief  i& 
required.  Opium,  Fulsatilla,  or  the  medicines  prescribed  under  "'Poisoning," 
will  answer ;  in  some  few  cases,  Arsenicum,  Ferrum,  Rhus,  or  Silicea  will  bo 
available 


44  THE   MOST  COMMON   CAUSES  OF  DISEASE. 


Effects  of  Lead. 

Lead  is  often  an  ingredient  in  medicines,  such  as  white  ointment,  plasters, 
Goulard's  lotion,  &c.,  which  are  used  to  dry  up  and  cure  eruptions,  ulcers, 
bruises,  burns  and  wounds.  It  is  almost  as  poisonous,  when  applied  exter- 
nally, as  if  it  were  used  internally,  and  produces  constipation,  colic,  cough, 
and  complaints  of  the  lungs.  To  remove  these  effects,  give  Opium  Jtequeutly 
repeated,  Glonoine,  followed  by  Kux  vomica,  or  Belladonna,  and  afterwards,  if 
necessary,  Alercurius  or  Flatiinim. 

Effects  of  Arsenic. 

If  the  so-called  medicines  contain  arsenic,  as  Fowler's  solution,  which  are 
mostly  given  in  fever  and  ague,  when  the  quinine  powders  will  not  cure  it,  for 
many  slciu  diseases,  or  for  cancers,  applied  both  internally  and  externally,  and 
which  generally  aggravate  the  disease,  give  Ipecacuanha ;  and  if  this  does 
not  effect  some  improvement,  give  Nux  vomica;  if  these  remedies  fail,  or  if, 
from  the  symptoms,  Veratrum,  Ferrum  or  China  seem  to  suit  better,  give  one 
of  these. 

Effects  of  Iron. 

Iron  is  frequently  given  as  steel  drops,  steel  pills,  &c.,  for  intermittent  fever, 
green-sickness  and  complaints  of  the  lungs  ;  but  instead  of  curing  the  evil, 
it  generally  makes  it  much  worse.  "When  the  menses  are  not  regular,  and  in 
general,  when  patients  are  weak  and  pale,  there  are  some  who  imagine  that 
if  they  be  painted  red  inside,  their  outside  will  likewise  become  the  more 
fascinating,  or,  that  the  iron  will  enter  the  system  and  make  them  strong. 
Iron,  however,  taken  in  large  quantities,  as  a  medicine,  is  injurious,  as  well  as 
all  the  other  metals,  only  it  does  not  kill  quite  so  rapidly.  A  proof  of  this 
assertion  we  find  in  springs  which  contain  iron,  and  in  which  rust  is  formed  ; 
neither  man  nor  beast  thrives  upon  this  water;  and  even  those  who  at  last 
become  accustomed  to  it,  will  sooner  or  later  suffer  from  its  effects.  In  cases 
where  speedy  relief  must  be  afforded,  give  Pnlsatilla  ovChina,  and  if  they  do 
not  avail,  H'par,  and  after  some  time  the  former  medicines  again. 

In  all  cases  of  poisoninf/  hij  medicine,  it  is  necessary  to  look  under  the 
particular  complaint,  and  to  give  in  preference  the  medicines  there  recom- 
mended. 

He  who  has  already  taken  different  medicines,  and  has  become  worse  and 
worse  by  their  use,  will  do  well  to  lay  them  all  aside,  no  matter  what  they 
are  called,  and  should  his  health  not  improve  of  itself,  nor  from  the  medicines 
which  have  been  recommended  here,  let  him  apply  to  a  Competent  homceopa- 
thic  physician,  and,  in  view  of  all  the  existing  circumstances,  not  expect 
miracles  It  is  often  very  difficult  to  give  relief  to  the  sufferer,  and  in  most 
cases  it  takes  a  year  or  irore,  before  he  begins  to  improve,  provided  he  has 
ao  hidden  disease,  which  i  either  the  old  nor  the  new  method  can  cure. 


CHAP.  VIT.  ADULTERATIONS   ANL   POISONS.  45 


CHAPTER    VII. 

ADULTERATIONS  AND  POISONS. 

"Wilful  murder  and  suicide  by  poison  are  but  rare  occurrences;  mjst  case? 
of  poisoning  originate  in  the  carelessness  witli  wliich  poisonous  tilings  are 
handled,  in  the  ignorance  of  their  poisonous  qualities,  or  in  the  wicked  adul- 
teration .of  eatables  and  of  liquors.  With  the  necessary  knowledge,  we  are 
frequently  able  to  avoid  this  danger.  As  it  is  of  importance  to  everybody 
to  be  acquainted  with  the  poisonous  substances  which  threaten  life,  we  will 
give  some  directions,  how  we  may  discover  these  adulterations  and  poisons. 

Wines  are  most  frequently  adulterated,  and  here  more  than  elsewhere; 
those  imported  into  this  country  have  either  been  adulterated  already  by  the 
shipper,  that  they  might  keep,  or  it  is  done  here  when  they  are  near  spoiling, 
or  to  make  them  resemble  wines  of  better  quality,  or  for  other  purposes.  We 
will  give  directions  how  to  recognize  adulterated  wines,  that  the  honest 
dealers  and  venders  of  wine  may  be  able  to  examine  the  articles  which  they 
purchase,  and  that  all  who  have  to  deal  with  rascals  may  first  test  the  wine. 
All  those  who,  by  the  directions  given  below,  shall  discover  that  wine  has 
been  adulterated,  and  who  have  a  spark  of  feeling  for  their  fellow-men,  should 
expose,  without  the  least  hesitation  or  forbearance,  the  persons  so  offending, 
that  this  horrible  practice  may  be  checked  in  this  country.  It  is  true,  that 
the  venders  may  excuse  themselves  by  saying  that  they  have  bought  the 
wine  in  that  state.  But  the  poison  is  there,  and  no  one  should  deal  in  wine 
who  does  not  know  how  to  discover  these  adulterations,  or  who  has  not  trust- 
worthy people  from  whom  he  orders  his  wines.  At  all  events  it  ought  to 
be  made  known  that  he  had  been  deceived,  and  particularly  by  whom  he  had 
been  deceived. 

Wines  may  be  adulterated  with  harmless  or  noxious  substances,  and  who- 
ever employs  the  former  will  employ  the  latter,  for  the  distinction  is  but  too 
easily  overlooked.  The  chief  harmless  articles  used  for  adulteration  of  wine, 
ai'e  ivafer,  sugar,  brandy  and  various  colorin'j  matters ;  but  as  these  are  not 
fraught  with  mischief  to  the  health,  we  may  pass  them  over  and  proceed  to 
point  out  some  adulterations  which  operate  as  a  slow  poison,  and  which  may 
be  the  cause  of  many  diseases. 

a)  Lime  or  Chalk  is  often  used  to  restore  wine  that  is  spoiled,  or  to  give 
new  wine  the  appearance  and  taste  of  old  ;  this  admixture  is  very  injurious  to 
all  who  drink  it.  It  may  be  detected  by  taking  a  few  grains  of  oxalate  of 
potash,  and  dissolving  them  in  two  tablespoonluls  of  distilled  water,  or  in 
water  obtained  by  letting  the  steam  from  the  spout  of  a  teapot,  filled  with 
boiling  water,  pass  into  a  cold  vessel.  This  solution,  itself  a  poison,  drop  into 
a  glass  of  wine  ;  if  you  perceive  in  a  few  minutes  a  whitish  cloud  in  it,  and 
the  next  day  a  white  sediment,  there  is  lime  or  chalk  in  the  wine.  Such 
wine  drunk  frequently,  is  apt  to  occasion  gravel,  hard  glands,  swellings, 
ulcers,  sore  eyes,  tedious  headache,  diarrhoea,  (tc. 

b)  Sulphur  or  Brinisione  is  often  found  in  wine,  and  many  pretend  that  wine 
cannot  keep  without  it  This,  however,  is  erroneous,  and  much  sulphur  in 
wine  acts  as  a  poison,  particularly  with  persons  of  a  consumptive  habit,  or 
who  are  subject  to  bowel  or  liver  complaints  ;  in  fact,  it  is  injurious  to  every 
one  who  drinks  it.     The  presence  of  sulphur  may  be  easily  detected  by  putting 


46  THE   MOST   COM^rON"   CAUSES   OF   DISEASE. 

a  cloan  new-laid  ejrg  into  a  tumbler,  and  filling  it  with  wine  :  if  the  wine 
contains  sulphur  the  eg-g  will  be  of  a  blackish  color  in  a  few  hours,  and  well 
polished  silver  teaspoons  will  be  blackened  by  the  same  pjjpcess.  Auolher 
test  is,  to  drop  a  little  lunar  caustic,  dissolved  in  water,  into  the  wine;  if  a 
black  or  brownish  bhick  precipitate  is  formed,  the  wine  contains  sulphur. 

(■)  A/iim  is  sometimes  contained  in  wine,  and  renders  it  very  injurious,  when 
drank  often  ;  a  single  glass  will  not  unfrequently  prove  hurtful  to  a  person 
of  delicate  health.  Dissolve  potash  in  water,  filter  it  through  blotting  paper, 
and  pour  some  drops  of  tliis  solution  into  the  wine;  if  it  foams  and  pre- 
cipitates a  white  powder,  there  is  a  probability  of  there  being  alum  in  the 
wine.  If  yon  desire  a  more  decisive  proof,  apply  to  a  chemist,  or,  dissolve 
the  above  mentioned  white  powder,  in  sulphuric  acid  diluted  with  water, 
adding  a  small  portion  of  sulphate  of  potash.  Let  it  evaporate  on  a  stove 
and  crj'stallize.  Should  pyramidal  crystals  appear,  of  the  sweetish,  astrin- 
gent taste  of  alum,  the  proof  is  positive. 

(I)  Lead,  or  some  other  metal,  is  often  found  in  sweet  wines,  sometimes  also 
in  other  wines,  and  is  indeed  a  slow  poison,  worse  than  any  other  adultera- 
tion.— A  nice  taste  will  detect  metallic  poison  in  wine,  the  sweetness  of 
which  is  disagreeable.  Dilute  sulphuret  of  lime  in  water,  and  drop  some  of 
it  into  a  glass  of  wine — if  it  turns  brown  or  black,  it  contains  metallic  poison. 
Suspend  a  bit  of  polished  zinc  in  the  wine — delicate  fibrils  of  lead  will  form 
upon  it,  if  this  metal  is  contained  in  the  wine.  Dissolve  Glauber  salts  or 
sulphate  of  soda  in  lukewarm  water  till  it  becomes  saturated,  let  it  cool, 
then  pour  into  a  tumbler  half  filled  with  wine,  as  much  of  it  as  will  fill  the 
tumbler,  let  it  stand  over  night,  and  there  will  remain  a  white  sediment  from 
the  lead.  If  you  put  into  a  glass  of  wine  a  few  drops  of  sulphuric  acid,  and 
the  wine  becomes  turbid  and  leaves  a  white  sediment,  it  contains  this  poison. 

e)  Corrosive  sabliiiiafe. — If  you  put  a  few  drops  of  hartshorn  into  a  tea- 
spoonful  of  water,  and  throw  this  mixture  into  a  glass  of  wine  and  it  leaves 
the  least  sediment,  the  wine  contains  corrosive  sublimate.  Another  test  is 
as  follows  :  Put  a  gold  coin  on  a  piece  of  zinc,  put  both  into  a  slit  made  in  a 
small  stick  and  hold  the  coin  and  zinc  in  a  large  tumbler  full  of  wine.  Should 
a  gray  dust  immediately  appear  on  the  coin,  there  is  corrosive  sublimate  in 
the  wine. 

/)  Ar.ieiiic. — Dissolve  lime  in  water  till  the  latter  becomes  saturated,  then 
pour  off  what  is  clear  into  a  clean  tumbler,  and  drop  some  wine  into  it ;  if 
the  wine  occasions  white  clouds,  it  is  likely  that  it  contains  arsenic.  To 
convince  yourself  more  fully,  dissolve  sugar  of  lead  in  aquafortis,  pour  a 
wineglassful  of  this  solution  into  a  bottle  of  wine  into  which  a  little  hartshorn 
has  been  previously  put,  and  stir  it.  The  next  day  pour  off  what  is  clear,  and 
with  the  turbid  part  wash  the  sediment  well  out  of  the  bottle,  and  strain  it 
through  blotting  paper,  till  the  liquid  has  passed  off;  then  put  the  sediment 
after  it  has  bei-n  dried  on  the  paper,  upon  live  coals;  if  it  smells  like  garlic, 
arsenic  is  present. 

Other  corroborative  tests  for  arsenic  in  wine  or  any  other  fluid,  are,  1,  the 
ammonio-nitrate  of  silver,  which  throws  down  a  rich  yellow  precipitate  of 
arsenite  of  silver,  rapidly  changing  to  a  greenish-brown  color;  2,  ammonio- 
sulphate  f  f  copper  which  causes  a  rich  green  precipitate,  which  varies  in  tint 
according  to  the  proportion  of  arsenic  in  the  solution  to  the  quantity  of  the 
test. 

It  is  not  meant  to  imply  that  arsenic  exists  in  the  wine  by  the  intention 
of  the  wine  dealer  or  vender;  but  that  vintners,  who  fumigate  their  casks 
with  sulphur,  are  ignorant  that  the  finest  sulphur  is  apt  to  contain  arsenic, 
which  has  remained  in  it  from  its  original  preparation. 


CHAP.  VII.  ADULTERATION'S   AND   POISONS.  47 

We  recommend  these  last  tests  most  especially  to  clergymen  and  elders, 
because  we  know  for  certain,  that  adulterated  wines  have  been  sold  for  .bU- 
gious  purposes  instead  of  genuine  wines. 

ViNECxAR  is  often  adulterated.  If  you  cannot  have  self-made  vinegar,  use 
cider  vinegar,  which  may  always  be  had  pure.  Wine  vinegar  often  retains 
the  poison  of  the  adulterated  wine,  from  which  it  has  been  made.  There  ia 
frequently  sulphuric  acid  in  it.  This  you  can  discover  by  means  of  a  solution 
of  suL-'ar  of  lead,  which  causes  a  white  sediment.  Corroding  vegetable  poison 
is  also  frequently  used.  Such  vinegar  will  burn  on  the  lips,  which  ]>ure  vine- 
ger  will  not  do  ;  it  leaves  also  an  acrid  taste  in  the  moutli.  You  can  ascer- 
tain it  still  more  positively  by  dropping  a  solution  of  potash  into  the  vinegar, 
until  litmus  paper  dipped  in  it  no  longer  turns  red.  Pure  vinegar  will  then 
have  lost  its  sharpness  altogether,  and  only  taste  like  salt  or  lye,  while  an 
adulterated  article  will  remain  of  a  sharp  and  acrid  taste. 

Mai.t  Liquors  are  frequently  adulterated,  but  it  is  difficult  to  detect  the 
poisonous  ingredients,  except  by  their  pernicious  effects.  This  is  generally 
the  case  with  the  far-famed  London  brown  stout  or  porter,  which  are  occa- 
sionally adulterated  with  those  deleterious  substances,  Kiix  vomica,  Tobacco, 
and  Coccalns  iiuh'cus.  You  may  perceive  this  by  a  sudden  intoxication  and 
headache  the  next  morning  after  drinking  it,  or  by  its  producing  nausea  in  a 
healthy  person  after  drinking  a  tumblerful  of  it  on  an  empty  stomach.  Any 
brewer  who  uses  other  substances  in  his  beer  than  malt  and  hops,  brews  an 
injuriou?,  even  poisoning,  drink;  salt  and  sugar  are  allowable,  but  the  effect? 
of  other  substances  will  sooner  or  later  be  felt  by  those  who  drink  the  beer 
It  is  an  injurious  deception  to  use  bitter  roots  and  herbs  instead  of  sufficien 
hops  and  malt;  but  Cocciihis  l.nrh'cii.i  is  nearly  as  bad  us  Arsenic,  Alum  and 
vitriol  are  sometimes  used ;  how  they  may  be  detected  we  will  show  in  the 
sequel,  under  "  Bread." 

The  adulteration  with  Nitx  vomica  or  SfrijcJuDne  maybe  detected  by  shaking 
half  a  gallon  of  the  suspected  liquor  with  two  ounces  of  animal  charcoal,  filter- 
ing the  liquor  from  the  charcoal,  boiling  this  latter  for  half  an  hour  with  four 
parts  of  alcohol,  and  proceeding  with  the  filtered  alcohol  as  will  be  stated 
under  brandy  and  whisky. 

Braxdy  and  other  Liquors  sometimes  contain  poison,  with  or  without  the 
fault  of  the  distiller,  particularly  if  the  fermentation  proceeds  too  rapidly  or  is 
continued  too  long.  This  you  will  perceive  by  boiling  the  brandy  in  a  bottle 
put  into  a  kettle  lull  of  water,  over  a  slow  fire,  till  all  the  spirituous  parts  are 
evaporated.  An  acrid,  disagreeable  taste  proves  the  existence  of  poison  ; 
and  experiments  similar  to  those  recommended  for  wines  will  show  what  it  is. 
It  is  usually  lead. 

It  has  lately  been  stated  in  most  newspapers,  that  the  manufacturers  of 
whisky  use  strychnine  to  increase  the  quantity  of  the  liquor;  if  this  should 
be  really  the  case,  the  strychnine  can  be  detected  in  the  following  way:  evapo- 
rate a  quantity  of  the  suspected  liquor  over  a  slow  fire,  until  only  a  small 
quantity  of  fluid  is  left,  which  shake,  first  with  a  little  caustic  potash,  and 
then  with  ether ;  evaporate  the  ether  very  slowly,  put  the  residue  on  a  piece 
of  glass  or  porcelain,  add  a  drop  of  strong  sulphuric  acid,  and  lastly  a  small 
crystal  of  bichromate  of  potassa,  if  now  a  deep  violet  tint  appears,  strych- 
nine is  present. 

Sweet  Oil  is  often  adulterated  with  lead  or  copper.     Dissolve  liver  of  sul- 


4S  THE   MOST   COMMON   CAUSES   OF   DISEASE. 

phurin  water  and  mix  the  oil  with  an  equal  portion   of  this  solution;  if  it 
turns  brown  or  black  upon  being  shaken,  it  is  jioisonoiis. 

Milk  axd  Ice-Crf.am  are  sometimes  mixed  with  potash  or  lime;  by  puttin,;^ 
some  aquafortis  into  it,  it  will  foam.  When  milk  lias  been  adulterated  wih 
starch,  it  will  thicken  in  boilino-;  or  if  yon  strain  it  through  fine  linen,  some- 
thing will  remain  behind,  or  a  glassful  of  it  will  turn  blue  on  the  addition  of 
a  drop  of  the  tincture  of  iodine.  Adulteration  with  the  brains  of  animals 
are  quite  frequent  in  large  cities  ;  they  may  be  detected  by  the  microscope. 
Sour  milk  may  contain  zinc  from  being  kept  in  vessels  of  that  metal.  Neu- 
tralize the  whey  by  ammonia  and  add  hydrosulphate  of  ammonia,  a  white  set- 
tlement shows  the  presence  of  zinc. 

Butter  often  contains  chalk,  sand  or  dye-stuffs.  Melt  it  in  hot  water,  and 
the  foreiun  substance  will  be  precipitated  or  mix  with  the  water. 

Flour  is  often  adulterated  with  sand,  plaster,  &c.  Burn  some  of  the  flour 
or  bread  to  ashes,  and  you  will  find  the  white  grains  in  the  ashes. 

Bread,  a)  By  Potash  or  Soda. — A  trifling  admixture  of  potash  or  soda  can 
affect  only  ner\'Ous,  debilitated  persons,  but  when  there  is  much,  it  may 
prove  injurious  to  the  strongest — occasioning  dyspepsia  and  other  accidents. 
Pour  hot  water  over  the  bread  till  it  is  quite  covered,  and  let  it  get  cold  ; 
then  put  a  strip  of  litmus  paper  into  it,  which  has  previously  been  reddened 
by  being  drawn  through  weak  vinegar.  If  it  turns  blue  again,  there  is 
much  potash  in  it :  the  quicker  it  changes  the  more  potash  there  is  in  the 
bread. 

h)  By  Macfnesia. — Magnesia  is  also  used  as  an  admixture  to  give  to  bread, 
baked  of  bad  flour,  the  appearance  of  good  bread.  'J'his  is  principally  inju- 
rious to  children  and  to  people  of  weak  stomachs  :  you  may  perceive  it  by  its 
taste  being  more  or  less  bitter.  Burn  a  pound  of  such  bread  to  ashes,  and 
you  will  tind  the  magnesia. 

c)  By  Alum. — Alum  is  a  very  pernicious  substance,  and  frequently  used. 
In  England  the  bakers  made  no  secret  of  it,  and  mixtures  of  flour  and  alum, 
or  alum  and  salt,  are  sold  publicly,  intended  to  make  white  bread  out  of 
inferior  or  spoiled  flour,  which  is  doubly  detrimental  to  those  who  eat  it,  as 
spoiled  flour  is  of  itself  unwholesome.  Some  bakers  do  it  without  knowing  that 
they  injure  the  health  of  their  customers.  To  detect  this  adulteration,  soak 
the  bread  in  water,  knead  it  till  it  dissolves,  adding  enough  water  to  make  it 
thin,  let  it  remain  over  night,  then  strain  it,  boil  it  down  and  let  it  stand;  the 
crystals  of  alum  will  be  deposited  and  you  can  taste  it. 

d)  By  Copper. —  Copper  is  the  worst  of  all  adulterations,  and  thousands 
had  been  poisoned  with  it  by  the  bakers  of  France  and  Belgium,  before  the 
physicians  discovered  the  imposition.  When  a  baker  furnishes  bread  uncom- 
monly white,  fine,  large  and  heavy,  you  should  be  on  your  guard.  When  such 
bread  is  burned,  the  flame  here  and  there  burns  green  To  convince  your- 
self perfectly,  soak  some  pounds  of  it  in  water,  and  add  enough  to  cover  the 
whole  completely,  let  it  get  sour  and  stand  till  it  becomes  clear.  If  you  sus- 
pend a  rod  of  polished  iron  in  it,  and  this  turns  ever  so  little  red,  you  may  be 
sure  that  the  bread  is  poisonous,  and  will  seriously  injure  the  health  of  any 
one  who  cats  it. 


We  will  now  call  the  attention  of  our  readers  to  some  other  poisons,  which 
ought  to  be  known,  t!;at  they  may  be  guarded  against. 


CHAP.  VII.  ADULTERATIONS   AND   POISONS.  49 


Poisons  in  the  Air. 

Old  wells,  caves,  cellars  vaults,  and  particularly  old  privies,  frequently 
contain  air  that  is  deadly  poisonous ;  we  should,  therefore,  not  enter  such 
places  without  proper  caution,  and  previously  purify  the  air  by  lighted  straw 
or  gunpowder,  or^  by  chloride  of  lime,  or  chloride  of  zinc.  The  fumes  of 
charcoal  in  a  close  room,  or  the  exhalations  arising  from  smouldering  wood- 
work may  cause  the  death  of  those  who  sleep  exposed  to  these  dangerous 
influences.  The  dry  rot  in  a  house,  which  gradually  destroys  the  timber  and 
walls,  can  cause  dangerous  diseases  to  its  inhabitants.  Buildings  in  this  con- 
dition are  not  tenantable,  and  ought  to  be  pulled  down,  unless  the  dry  rot  can 
be  removed.  The  smell  of  walls,  newly  whitewashed,  of  paint  in  new  build- 
ings, or  whereever  much  painting  or  varnishing  has  been  done,  particularly 
with  poisonous  green  or  red  colors,  consumes  the  pure,  and  engenders  a 
mephitic  air.  Nothing  that  has  a  strong  odor  ought  to  be  suffered  in  sleep- 
ing rooms;  no  clothes  to  dry;  no  highly  scented  flowers,  herbs,  fermenting 
substances,  fresh  hay,  vermin-poison,  or  quicksilver — all  of  which  will  prove 
injurious  to  the  sleeping — and  especially  to  children,  and  to  females  in  confine- 
ment. For  in  sleep,  man  is  more  easily  affected  by  noxious  influences;  and 
things  which  he  would  hardly  notice  when  awake,  or  the  injurious  effects  of 
which  he  would  easily  overcome,  may  affect  him  seriously,  and  even  kill  him 
when  asleep.  A  person  may  become  ill  from  sleeping  on  damp  ground, 
exposed  to  a  draught,  in  sunshine  or  moonlight,  close  to  a  hot  stove,  or  in  an 
atmosphere  filled  with  odors  of  any  kind.  Bad  air  makes  people  sleepy.  If 
small  churches  are  not  opened  during  the  whole  week,  the  whole  assembly 
on  Sunday  will  feel  sleepy  in  spite  of  the  best  sermon.  Persons  who  have 
just  recovered  from  a  disease  are  very  apt  to  become  there  ill  again,  no  matter 
with  how  good  an  intention  they  came  t«  church. 

Wate.-i  is  often  impure,  and  people  get  ill  from  using  it.  Springs  which  are 
avoided  by  cattle,  and  have  a  reddish  or  brownish  sediment,  are  injurious. 
Whoever  considers  the  loss  of  time  which  a  trifling  indisposition  may  cause 
to  a  whole  family,  will  not  deem  that  time  lost  which  is  spent  upon  improving 
the  water. 

Drink  no  water  from  rivers  on  which,  a  little  higher  up,  there  are  manufac- 
tories, from  which  dye-stufl's  and  other  noxious  matters  run  into  it.  Spring 
or  well  water  is  hard,  or  contains  particles  of  lime  or  iron,  if  soap  will  not 
dissolve  in  it ;  such  water  ought  to  be  boiled  before  using  it.  You  should, 
however,  not  drink  too  much,  nor  too  often  of  it.  but  rather  accustom  your- 
self to  rain  water,  if  favorably  situated  for  procuring  it  pure,  and  without  the 
admixture  of  smoke  and  soot,  it  should  be  preserved  in  cisterns,  or  in  casks 
slightly  covered.  Water  contaiuing  sulphurous  or  salty  particles,  ought 
never  to  be  used  for  drinking  or  culinary  purposes,  except  in  cases  of  the 
greatest  necessity ;  for  water  of  this  kind  cannot  be  improved  by  boiling. 
Stagnant  water  from  ponds,  pools,  &c.,  ought  not  to  be  used  ;  yet,  when  no 
other  can  be  had,  it  may  be  improved  by  throwing  into  it  powdered  charcoal, 
shaking  it  well,  and  straining  it  through  a  double  linen  or  cotton  cloth  ;  a 
good  filter  or  drip-stone  is  even  better  for  this  purpose  ;  such  water  contains 
putrid  organic  particles  and  eggs  of  insects  scarcely  visible,  which  occasion 
tedious  fevers  and  other  diseases  ;  it  will  avail  nothing  to  mix  it  with  vinegar, 
molasses  or  brandy,  if  it  has  not  been  previously  cleaned  by  charcoal. 

Bad  wells  ought  to  be  well  cleansed  and  kept  covered  :  for  the  water  is 
hurtful,  when  leaves  or  other  vegetable  substances  are  rotting  in  it.     Pipes 

e  6 


60  THE   MOST   COMMON   CAUSES   OF   DISEASE. 

of  copper,  lead  or  zinc,  used  to  convey  water,  render  it  injurious.  You  should 
always  let  so  much  water  run  out,  as  may  have  stood  in  the  pipes.  Pipes  of 
marble,  earthen  ware,  glass  or  gutta  percha,  are  the  best  that  can  be  used 
for  conveying  water 

Mii.K  is  often  noxious,  nay,  poisonous,  from  disease  of  the  cows — and  dealers 
in  milk  not  quite  devoid  of  conscience,  will  rather  sustain  a  small  loss  tbem- 
Belves,  than  subject  others  to  a  loss  ten  times  heavier. 

Distiller's  slops,  continually  used,  never  fail  to  produce  disease  in  the  cows, 
and  render  the  milk  highly  injurious. to  the  health  of  the  consumer.  Cows, 
when  fed  for  a  length  of  time  upon  this  innutritious  substance,  lose  thr-ir 
teeth,  and  die. 

Meat  of  sick  animals,  slaughtered  when  they  were  dying,  is  very  injurious, 
particularly  if  the  animal  had  any  eruption,  or  disease  of  the  bowels.  The 
consequences  may  not  appear  immediately,  but  they  are  certain  to  come  some 
time  or  other. 

Meat,  badly  smoked,  or,  when  undergoing  the  smoking  process,  not  kept 
constantly  in  the  smoke,  or  during  that  process  exposed  to  frost ;  sausages 
smoked  badly  or  kept  too  long  and  become  greasy  in  spots ;  hams,  not  salted 
sufficiently,  or  taken  too  soon  out  of  the  pickle,  and  smoked  at  intervals,  or 
in  the  spring,  when  they  get  alternately  warm  and  cold,  or  kept  piled  upon 
each  other  in  boxes,  or  packed  when  damp— particularly  when  they  are 
smeary  around  the  bones,  and  have  a  bad,  rancid  smell. — contain  a  very  vio- 
lent poison,  which,  in  many  cases  may  be  the  cause  of  incurable  disease.  The 
same  poison  is  also  generated  in  hams  and  meat,  when  preserved  with  pyro- 
ligneous  acid,  instead  of  being  smoked.  You  can  easily  know  the  poison 
which  is  developed  in  fat,  or  cheese,  or  old  ham,  by  rubbing  a  portion  of 
them  on  Idue  litmus  paper,  when,  if  the  poison  is  present,  the  paper  will  turn 
red  or  reddish.  The  same  poison  is  contained,  though  in  smaller  quantity,  in 
rancid  bacon,  rancid  butter,  or  rancid  oil.  It  would  be  best  to  throw  away 
everything  of  this  sort — yet,  if  you  must  use  them,  let  them  be  well  washed. 
This  should  be  dune  first  in  cold  water,  then  in  three  or  four  times  as  much 
boiling  water;  let  it  boil  about  ten  minutes,  take  it  out  of  the  water,  wash  it 
again  in  fresh  water,  and  try  whether  it  still  contains  the  poison. 

Whatever  has  become  putrified — meat,  blood,  eggs,  cheese,  fruit,  particu. 
larly  cherries,  pine-apples,  oranges.  &c. — is  hurtful,  often  puisonous,  and 
nothing  can  be  done  to  improve  it.  Meat,  preserved  in  summer  by  ice,  and 
which  has  acquired  a  certain  red  appearance,  having  no  longer  the  proper 
smell  of  flesh,  is  very  unwholesome  food.  Putrid  fish,  though  ever  so  well 
dressed,  is  a  very  dangerous  food. 

'I'he  gall  of  every  animal  is  poison. 

Poison  is  also  generated  in  curds  and  cheese  prepared  too  damp,  or  with- 
out a  sufficient  quantity  of  salt. 

Vegetables  and  Fruits  of  any  kind  should  not  be  eaten  by  anybody  who 
does  not  know  them  well;  and  children  ought  to  be  early  accustomed  to  par- 
take of  no  fruits,  Jcc,  unknown  to  them.'  It  is  often  the  case,  that  poisonous 
insects  infest  vegetables,  (cabbage  in  particular.)  or  leave  their  slime  on 
them,  and  consequently  render  them  very  injurious.  Mildew  which  blasts 
vegetables,  is  also  poisonous.  Ergot,  which  is  frequently  found  in  rye,  is 
hurtful  to  man  and  beast.  Also  the  seeds  of  many  weeds  are  noxious.  Dry 
vegeiables,  containing  insects  and  worms,  ought  to  be  carefully  avoided. 
Nuts  may  taste  sweet,  and  yet  contain  rank  poison.     Even  walnuts  become 


CHAP.  VII.  ADULTERATIONS    AND    POISONS.  51 

injurious,  when  old  and  rancid,  and  occasion  in  many  a  child  a  dangerous 
coua-h  or  diarrhoea,  often  ascribed  to  a  cold. 

Raisins,  fijrs  and  prunes  are  a  very  good  relish,  provided  they  are  perfectly 
sound,  though  there  are  some  ]iersons  who  thinl;  them  injurious,  or  even  look 
upon  them  only  as  a  kind  of  cathartic.  The  soundness  of  these  fruits  is  easily 
settled  by  a  closer  examination,  which  will  show  that  the  white  dust  adhering 
to  the  fruit  and  resembling  sugar,  (though,  in  some  instances,  it  nmy  be 
sugar,)  proves  to  be  a  beautiful  little  grove  of  coral,  thronged  by  large,  bristly 
animalcula;.  No  wonder,  that  with  children  diarrhoea  is  produced  by  such 
bristly  guests.  All  such  things  ought  to  be  carefully  washed,  first  in  cold 
and  then  in  hot  water  before  they  are  used. 

No  one  should  eat  fruit  which  is  half  ripe  on  one  side  and  rotten  on  the 
other,  at  least  not  without  first  cutting  out  whatever  is  spoiled.  If  proper 
attention  was  given  to  this  matter,  we  should  not  be  so  frequently  trouliled 
with  bowel  complaints  in  childhood,  and  weakness  of  stomach  in  after  years. 

Mushrooms  are  sometimes  poisonous.  It  is  not  true,  as  has  been  alleged, 
that  poisonous  mushrooms  cause  onions  to  turn  black. 

The  best  precaution  in  regard  to  their  use  is.  to  eat  none  from  which  a 
milky  juice  exudes ;  none  that  are  old  or  become  readily  decomposed.  As 
to  all  others,  make  inquiry  and  learn  which  are  eatable.  Taste  them  raw. 
and  if  they  have  anything  acrid  or  disagreeable  either  in  taste  or  smell,  do 
not  use  them.  Let  them  be  well  washed  in  cold  water,  have  them  pared  and 
all  the  gnawed  parts  cut  out.  When  cut  up,  they  should  be  scalded  with 
boiling  water,  then  allowed  to  stand  awhile,  and  afterwards  be  boiled  in  fresh 
water. 

Kitchen  Sai,t  being  an  indispensable  article,  every  family  should  endeavor 
to  have  it  pure.  When  salt  exposed  to  the  open  air  becomes  easily  moist,  it 
is  bad.  If  an  ounce  of  fine  salt  does  not  perfectly  dissolve  in  four  ounces  of 
cold  rain  water,  it  contains  plaster  of  Paris,  and  is  injurious. 

It  is  a  great  error  to  suppose  that  salt  is  absolutely  wholesome,  and  that 
too  much  of  it  cannot  be  eaten.  A  small  quantity  suffices  to  make  food 
palatable  and  is  wholesome,  but  the  excessive  consumption  of  it,  indulged 
in  by  many,  is  not  only  unnecessary,  but  even  attended  by  great  danger  to 
the  health.  It  causes  dyspepsia,  constipation,  chronic  catarrhs,  skin  diseases, 
&c.,  and  many  patients  laboring  under  these  affections,  owe  them  solely  to 
their  immoderate  use  of  this  otherwise  indispensable  condiment.  Most  of 
the  ordinary  articles  of  food  contain  naturally  a  sufficient  supply  of  salt  in 
chemical  combination  with  them,  and  when  more  is  required,  the  cook  should 
be  entrusted  with  the  seasoning,  as  salt  is  found  to  be  less  apt  to  produce  its 
deleterious  effects  when  combined  with  the  food  in  the  operations  of  cooking, 
than  when  added  afterwards.  It  is  highly  objectionable  to  dip  every  mouthful 
of  food  in  salt  as  we  so  often  see  done,  especially  in  this  country. 

Kitchen  Utensils  should  be  selected  and  used  with  care.  Earthenware 
is  often  glazed  with  poisonous  substances.  Let  vinegar  stand  in  a  vessel  of 
this  kind  over  night,  and  the  next  morning  mix  it  with  a  solution  of  liver  of 
sulphur  in  water,  and  if  it  turns  black,  there  is  poison  in  the  glazing.  Nothing 
acid  should  stand  or  be  prepared  in  such  a  vessel. 

Caution  is  to  be  recommended  respecting  iron  utensils  glazed  inside. 
Copper  vessels  ought  never  to  be  used  in  the  preparation  of  anything  that  ia 
sour ;  they  should  always  be  kept  clean  and  p'  lished,  and  whatever  is  cool-ed 
in  them  ought  not  to  he  left  in  them  to  cool,  foj  while  cooling  it  will  be  most 
apt  to  imbibe  the  poison. 


52  THE   JI03T   COMMON   CAUSES   OF   DISEASE. 

The  same  precautious  should  also  be  obsvirved  with  regard  to  tinn(!d 
utensils.  During  the  process  of  cooking,  the  tin  should  not  be  suffered  to 
melt  off!  nor  should  the  bottom  of  the  vessel  be  scraped  by  stirring  its  con- 
tents with  a  spoon. 

It  is  owing  in  no  small  degree  to  the  neglect  of  these  things,  that  we  hear 
of  80  many  slow  and  tedious  diseases  which  no  physician  can  cure.  All  those 
who  are  so  ignorant,  that  they  will  use  copper  vessels  for  pickling  cucumbers 
or  beans,  in  order  to  give  them  a  fine  green  color,  and  then  eat  such  trash 
on  account  of  its  fine  appearance,  or  who  draw  vinegar  from  casks  by  a  brass 
spigot,  must  not  complain  when  they  suffer  from  a  weak  stomach,  or  colic 
cramp,  or  nervous  diseases;  nor  expect  that  a  physician  by  any  medicine  can 
expel  the  copper  out  of  the  system  as  readily  as  it  has  been  introduced. 
There  are  those  who  can  bear  it  for  a  long  time,  yet  the  bad  effects  will  in- 
evitably follow  sooner  or  later.  The  copper  in  its  metallic  state  is  not  ne- 
cessarily injurious  when  introduced  into  the  body,  but  copper  dissolved  in 
vineo-ar  is  "always  poisonous.  Coppersmiths  are  not  apt  to  be  more  ill  than 
other  people,  and  a  person  swallowing  a  copper  coin  gets  rid  of  it  without  sus- 
taining any  injury.  You  may  have  a  leaden  bullet  in  your  flesh  for  years 
without  detriment ;  but  the  same  lead  dissolved  and  taken  would  destroy  you 
in  a  few  hours. 

Paints  are  noxious,  because  they  nearly  all  consist  of  injurious  metallic 
substances.  White  lead  and  other  white  colors  are  nothing  but  preparations 
of  lead,  and  are  as  bad  if  prepared  from  bismuth  or  tinglass  and  tin.  Red 
lead  is  lead  combined  with  oxygen  or  acids,  and  vermillion  or  cinnabar  is 
quicksilver  combined  with  sulphur.  Massicot,  chrome,  Naples  and  other 
yellow  colors  are  compositions  of  lead.  King's  yellow,  and  orpiment  are 
combinations  of  arsenic.  Blue  paints  contain  copper,  or  that  virulent  poison 
Prussic  acid,  as  Prussian  blue,  Paris  blue,  mineral  blue  ;  or  cobalt,  which, 
though  not  as  pernicious  as  arsenic,  operates  badly  enough  ;  it  enters  into  the 
composition  of  smalts,  king's  blue  and  blue  starch.  Green  paints  consist 
chiefly  of  copper,  as  verdigris,  mineral  green,  Brunswick,  &c.  The  chrome 
green  is  very  hurtful,  but  Scheel's  green  is  worse,  because  it  contains  arsenic 
and  proves  injurious  even  by  exhalation.  That  it  contains  arsenic  may  be 
proved  by  strewing  some  on  live  coals,  when  it  will  smell  like  garlic. 

Bronze  which  is  used  in  gilding  and  silvering  toys  is  composed  of  coppei, 
quicksilver,  zinc,  tin  and  bismuth. 

Therefore  be  careful  with  such  paints,  do  not  let  their  dust  fly  about,  never 
use  paints  containing  arsenic,  nor  suffer  any  to  come  near  the  things  that  are 
used  in  the  kitchen.  To  small  children  no  paint  boxes  nor  painted  wooden 
or  leaden  toys  should  be  given,  because  it  is  actually  putting  poison  into  their 
hands  ;  colored  wafers  may  also  prove'injurious  to  children.  Fine  letter-paper, 
particularly  that  of  a  milk-white  or  green  tint,  contains  frequently  injurious 
ingredients,  sometimes  arsenic,  which  is  shown  by  the  smell  of  garlic  when 
it  is  burnt. 

Although  mineral  paints  are  the  most  poisonous,  yet  others  also  contain 
deleterious  substances.  Gamboge  is  a  powerful  cathartic.  Indigo  causes 
violent  cramps  and  swellings.  Cochineal  causes  toothache  and  obstruction 
of  urine.  And  we  might  enumerate  many  others.  However,  where  painting 
is  to  be  done,  use  in  preference  chalk,  dyed  yellow  with  birch  leaves  or  cur- 
cuma, or  blue  with  indigo,  or  green  with  both  ;  with  ochre  and  other  iron 
colors  ;  also  with  woad,  madder,  oi'leans,  cochineal  and  carmine. 

In  order  to  get  rid  of  the  smell  of  paint  in  houses  that  have  just  been 
painted,  place  in  every  room  a  basin  containing  unslaked  lime. 


CHAP,  VII.  ADULTEEATIONS   AND   POISONS.  53 

Of  Cosmetics  and  "Washes,  we  cannot  speak  with  any  qualification,  as  it 
is  known  that  all  of  them  contain  poison  and  that  of  the  worst  kind.  Cos- 
metics that  are  not  poisonous  will  not  keep  long,  and  such  as  do  keep  are 
poisonous.  There  is  but  one  true  cosmetic  :  that  is,  fresh  air  and  water,  aud 
a  rational  mode  of  living. 

To  induce  ladies  to  leave  off  the  use  of  these  poisons,  the  following  method 
will  be  found  most  effectual.  Let  them,  after  using  paint,  wash  themselves 
in  the  dark  with  water  in  which  some  liver  of  sulphur  has  been  dissolved.  It 
can  do  no  harm,  and  will  have  the  desired  effect. 

Oil  of  vitriol,  aqua  fortis,  spirits  of  salt,  aqua  regia,  salts  of  white  sorrel 
(called  also  salt  of  lemons  and  used  to  take  out  spots)  are  dangerous  articles, 
and  should  never  be  left  within  the  reach  of  children.  Sulphuric  acid  much 
diluted  is  not  poisonous  ;  aqua  fortis  mixed  with  strong  spirits  is  not  so  dan- 
gerous ;  but  the  others,  however  much  diluted,  operate  as  violent  poisons. 
The  common,  or  caustic  potash,  lunar  caustic,  hartshorn,  unslaked  and  even 
slaked  lime  are  dangerous  substances. 

The  injudicious  use  of  these  things  given  through  ignorance  in  too  powerful 
doses  to  sick  or  fainting  persons,  has  been  highly  injurious,  and,  in  some 
instances,  even  fatal.  They  ought  never  to  be  given  to  smell,  or  otherwise 
used,  except  much  diluted.  Alum,  vitriol,  saltpetre,  sal  ammoniac  and  liver 
of  sulphur  used  too  profusely  are  also  injurious. 

Not  only  things  containing  mercury,  arsenic,  lead  and  copper,  are  poison- 
ous, but  also  those  in  which  there  is  antimony,  tin,  bismuth,  zinc,  lunar  caustic 
(in  short,  almost  everything  that  is  bought  at  an  apothecary's  shop),  all 
minerals  and  chemicals  are  more  or  less  dangerous.  Even  harmless  things, 
improperly  used,  may  prove  so. 

Panaceas  and  Vermifuges. — The  worst,  the  most  injurious  of  all  poisons, 
are  those  abominable  panaceas,  nostrums,  pills,  &c.,  which,  under  numerous 
enticing  nahies,  are  palmed  upon  the  public.  No  physician  will  deny  that 
sometimes  cures  have  been  performed  by  them,  yet  every  one  knows  how 
seldom  this  has  happened.  No  medicine  will  do  good  unless  properly 
applied. 

From  the  manner  in  which  panaceas  and  other  nostrums  are  extolled  and 
recommended,  it  is  apparent  that  those  who  offer  them  for  sale  are  only 
anxious  to  find  purchasers.  Thus,  pulmonary  consumption  is  no  fixed  disease, 
against  which  a  specific  can  be  recommended.  It  is  so  very  difl'erent,  and  in 
almoat  every  case  so  peculiar,  that  careful  investigation  is  necessary  to  dis- 
cover its  nature.  The  remedies  must  be  adapted  to  the  peculiarities  of  the 
disease.  One  and  the  same  medicine  cannot  possibly  answer  in  all  cases. 
Nor  can  you  rely  upon  the  certificates  which  accompany  the  recommendations 
of  these  universal  medicines.  A  case  often  appears  worse  than  it  actually  is, 
and  even  medical  men  may  be  deceived,  while  at  the  same  time  a  trifling 
medicine,  sometimes  simply  cold  water,  will  cure  it. 

The  great  number  of  universal  medicines  which  we  see  extolled  as  specifica 
for  various  diseases,  certainly  reflects  no  great  credit  on  the  inhabitants  of 
this  country.     It  proves  the  ignorance  and  credulity  of  the  purchasers. 

He  who  buys  and  uses  such  articles  may  be  compared  to  him  who  buys  a 
lottery  ticket.  The  ticket  venders  are  the  only  persons  certain  of  a  large 
profit.  As  many  blanks  as  there  are  in  a  lottery,  so  many  are  there  in  these 
universal  medicines  ;  and  the  number  of  prizes  in  the  one  and  of  cures  in  the 
other  are  about  equal. 

No  man  of  setae  will  venture  in  a  lottery,  if  he  cannot  spaie  the  money. 

6* 


54  THE  MOST  COMMON  CAUSES   OF   DISEASE. 

which  in  all  probability  will  be  lost.  But  he  who  ventures  in  a  medical  lot- 
tery, not  only  loses  his  money,  but,  if  he  does  not  get  a  prize,  receives  certain 
injury,  rendering  his  case  worse,  more  obstinate,  and  more  difficult  to  cure. 

When  a  physician  prescribes  medicine  for  you,  you  know  at  least  what  you 
get,  and  should  it  prove  injurious,  it  may  at  least  be  counteracted  ;  if  you 
liave  not  taken  too  much  of  such  medicine,  or  persisted  in  the  u^^  of  it  lor 
too  long  a  time,  it  is  always  possible  to  repair  the  injury  thai  has  been  done. 
But  with  those  unknown  universal  medicines  this  is  impossible  ;  because  we 
do  not  know  what  we  are  to  treat.  Whoever  relies  upon  the  impudent  asser- 
tion that  nothing  injurious  is  contained  in  these  nostrums,  must  be  credulous 
indeed.  We  have  mentioned  already  in  the  preceding  pages,  that  the  poison 
from  many  plants  is  as  virulent  as  that  from  minerals. 

Many  of  these  universal  medicines  contain,  also,  mineral  poison.  For 
instance,  the  colorless  fever  drops  contain  arsenic;  the  imperial  pills  mer- 
cury; and  so  with  many  others.  ISIany  things  of  this  kind  are  sold  at  an 
enormous  price,  and  the  ingredients  of  which  they  consist  may  be  had  in 
every  apotliecary's  shop  for  a  tenth  part  of  their  cost;  for  instance,  Haarlem 
oil  is  nothing  but  a  combination  of  sulphur  with  oil,  and  the  value  of  a  vial 
full  is  less  than  a  halfpenny.     So  it  is  with  all  others. 

There  is  not  a  single  one  of  these  pretended  secret  medicines  that  a  real 
physician  might  not  have  discovered  and  made  known.  A  physician  can 
apply  every  medicine  in  its  proper  place  :  the  vender  of  nostrums  cannot  — 
his  object  is  to  make  money ;  whether  his  medicine  kills  or  cures  is  a 
secondary  consideration. 

Beware  of  giving  children  the  so-called  worm  medicines.  Whoever  is  so 
inconsiderate  as  to  till  the  stomachs  of  his  children  with  such  trash,  should 
first  try  these  nostrums  on  himself,  and  every  morning  take  a  small  spoonful 
It  will  soon  cure  him  of  his  folly. 

This  remark  applies,  also,  to  remedies  for  vermin  on  the  head.  These 
remedies  in  general  are  poisonous.  Cleanliness  is  the  best  remedy,  and 
should  frequent  washing  and  combing  not  avail,  rub  oil  or  a  little  tobacco 
juice  into  the  hair.  Cleanliness  will  also  exterminate  all  other  descriptions 
of  domestic  vermin,  therefore,  do  not  run  the  risk  of  having  poisonous  reme- 
dies in  the  house,  for  they  often  contain  corrosive  sublimate  or  somethuig 
similar,  and  their  very  smell  is  injurious 

Camphor  or  even  musk  is  frequently  made  use  of  against  moths  in  fur  and 
clothes,  but  their  odor,  especially  in  bed-rooms,  is  very  injurious.  Camphor 
is,  likewise,  apt  to  affect  colors,  and  the  effects  of  musk  continue  even  after 
it  has  evaporated.  Pieces  of  Kussia  leather,  lavender,  thyme,  spirits  of  tur- 
pentine, or  tobacco  leaves,  will  answer  equally  as  well. 

Yermin  in  grain  are  more  easily  expelled  by  strong  smelling  plants,  and 
frequent  shifting,  than  by  poison  ;  and  there  are  many  instances,  where,  not. 
withstanding  the  utmost  precaution,  men  have  been  killed  instead  of  vermis. 


OHAP.  Vni.  POISONING.  65 

CHAPTER    VIII. 

OF    POISONING. 

WTiat  is  to  be  done  in  cases  of  Poisoning. 

The  main  object  is  to  expel  the  poison  as  quickly  as  possible  and  to  prevent 
its  spreading  ;  or  to  render  innoxious  what  cannot  be  expelled.  Much  depends 
upon  promptness.  Yet  too  mu(di  haste  frequently  leads  to  mistakes,  and 
nervous  agitation  causes  many  to  act  without  consideration. 

The  first  requisition  is  presence  of  mind.  Whoever  is  possessed  of  this, 
should  act,  and  direct  what  is  to  be  done.  Let  him  dispatch  the  bystanders 
after  what  may  be  wanted,  thus  rendering  those  useful  who  would  otherwise 
be  worse  than  useless. 

In  most  cases  when  poison  has  been  taken  into  the  stomach,  the  principal 
object  is  to  excite  vomiting,  particularly  when  the  sufferer  feels  inclined  to 
it;  or  if  vomiting  has  already  taken  place,  to  promote  it.  The  best  means 
of  effecting  this  is  by  administering  tepid  water,  and  tickling  the  throat  with 
a  soft  feather ;  a  feather  from  the  tail  of  a  peacock  is  the  best,  on  account  of 
its  length  and  softness  ;  put  some  oil  on  it,  push  it  down  the  throat,  turning 
it  now  and  then,  until  vomiting  has  been  produced. 

Let  water  be  heated  as  quickly  as  possible  ;  in  the  mean  time  take  the 
white  of  eggs  and  beat  them  to  a  froth.  Take  pure  white  Castile  soap  and 
let  suds  be  made.  Let  another  person  procure  sugar,  vinegar,  sweet  oil,  milk 
and  butter.  Have  some  strong  coQee  made,  and  gruel  of  oatmeal,  barley, 
linseed,  or  meal  of  any  kind. 

These  articles  are  usually  to  be  found  in  every  family. 

Whilst  you  are  promoting  vomiting  and  procuring  what  is  requisite,  ascer- 
tain, if  possible,  what  kind  of  poison  the  sufferer  has  taken.  Sometimes  a 
sudden  case  of  sickness  is  erroneously  attributed  to  poison.  Consider,  there- 
fore, what  may  be  the  most  probable  cause  of  the  attack,  and  should  any 
uncertainty  exist,  do  not  hurry  yourself.  You  may  do  many  things  at  random 
without  doing  any  injury;  you  will  have  to  do  this  until  you  attain  certainty. 

There  is  reason  to  apprehend  poison,  when  violent,  dangerous  symptoms, 
F.uch  as  are  indicated  below,  occur  suddenly,  particularly  if  these  show  them- 
selves at  once,  or  soon  after  the  sufferer  has  been  eating  or  drinking.  The 
probability  will  be  still  greater,  if  the  patient  has  eaten  any  thing  unusual. 

Be  therefore  diligent  in  inquiring  of  the  sufferer  himself,  as  well  as  of  those 
about  him,  where  he  has  been,  with  whom,  and  so  forth.  Preserve  carefully 
what  he  has  thrown  up,  and  likewise  whatever  may  have  been  left  of  his 
meals  or  drink.  Do  not  suffer  these  things  to  be  thrown  away,  although  they 
should  become  putrefied;  for  mineral  poison  can  be  traced  notwithstanding: 
a  matter  which  may  prove  interesting  to  the  patient,  or  his  relatives.  kShould 
this  be  a  matter  of  importance,  throw  the  whole  together  into  one  vessel,  and 
pour  plenty  of  strong  brandy  over  it. 

As  in  every  serious  case  of  the  kind,  an  experienced  physician,  or  an 
apothecary,  will  no  doubt  be  called  in,  let  him  subsequently  examine  these 
things. 

The  treatment  must  not,  however,  be  deferred:  the  assistance  must  be 


66  THE   MOST   COirMON   CAUSES   OF   DISEASE. 

immediate,  and  while  it  is  heinff  rendered,  the  cause  must,  if  possible,  be 
ascertained. 

Always  consider,  that  he  "who  is  poisoned  may  die,  if  you  apply  too  many 
things,  or  proceed  with  too  much  haste  or  violence.  Keflect,  and  do  <ine 
thing  after  another  quietly  and  soberly,  lest  by  the  means  applied  you  hurt  the 
sufferer  more  than  you  do  him  good. 

When  you  know  what  poison  has  been  taken,  or  when  you  are  almost  cer- 
tain, have  recourse  to  such  medicines  as  are  prescribed  against  that  poison, 
avoiding  such  as  might  prove  detrimental. 

When  you  are  uncertain,  act  according  to  the  following  directions,  proceed- 
ing from  mild  remedies  to  stronger  ones,  if  the  former  prove  insufficient.  lu 
cases  of  imminent  danger  you  must,  of  course,  use  whatever  remedy  may  be 
it  hand. 

VoMiTiNr;,  or  an  inclination  for  it,  is  always  a  most  important  symptom, 
and  especially  so  when  occurring  during,  or  soon  after  meals.  It  is  right  to 
promote  vomiting,  and  this  should  be  attempted  at  first,  without  having 
recourse  to  irritant  substances.  A  good  and  a  harmless  emetic  is  lukewarm 
water,  without  either  oil,  grease  or  butter.  Let  the  suflerer  swallow  as  much  of 
it  as  he  possibly  can  ;  at  least  every  minute  half  a  tumbler  full,  and  more  if 
possible.  Try  to  induce  children  to  take  it,  first  by  kindness,  then  by  threats, 
and  if  neither  will  avail,  by  force,  and  if  the  latter  has  to  be  resorted  to,  open 
the  mouth  by  inserting  a  finger  between  the  jaw  behind  the  teeth,  and  pour 
it  in.  Or  you  may,  after  the  child  has  made  an  expiration,  suddenly  shut  its 
nose  and  pour  the  water  into  its  mouth  ;  but  beware  of  doing  this  while  the 
child  is  breathing. 

At  the  same  time  let  the  patient  put  his  finger  down  his  throat,  or  take  a 
feather,  put  it  into  the  throat,  and  turn  it  round  till  it  excites  vomiting.  Let 
the  patient  incline  forward,  place  your  hand  on  his  stomach,  support  his  head, 
beating  him  softly  between  the  shoulders.  Let  him  rinse  his  mouth  after  he 
has  vomited,  and  remain  undisturbed  for  a  few  minutes.  As  soon,  however, 
as  he  feels  another  attack  of  pain,  or  other  symptoms,  such  as  retching,  hic- 
cough, or  uneasiness,  let  him  drink  again  until  it  appears  probable  that  every 
thing  has  been  ejected. 

If  he  cannot  be  made  to  vomit,  or  if  he  cannot  swallow,  at  least  not  sufiS- 
ciently,  or  if  he  retches  in  vain,  does  not  throw  up  as  much  as  he  drinks,  or 
should  he  absolutely  refuse  to  drink,  and  you  cannot  introduce  enough,  or 
should  he  swallow  again  what  has  come  up  ;  give  him  a  tablespoonful  of  mus- 
tard-seed finely  powdered,  mixed  with  a  teaspoouful  of  kitchen  salt  in  a 
tumblerful  of  water. 

In  case  the  sufferer  can  get  nothing  down,  is  quite  confused,  cannot  swallow, 
his  jaws  being  tightly  closed,  blow  some  tobacco  smoke  into  the  anus.  To 
do  this  if  the  proper  apparatus  cannot  be  obtained,  take  a  pipe  tilled  with 
tobacco,  light  it,  grease  the  point  of  its  mouth-piece  with  oil  or  fat,  insert  it 
in  the  anus,  not  deeper  than  about  an  inch,  turning  it  carefully;  then  place 
on  the  bowl  of  that  pipe  the  bowl  of  another  larger,  empty  one,  and  blow 
through  this  into  the  other,  propelling  the  smoke  inward.  After  blowing 
throe  or  four  times,  stop,  and  then  begin  again,  and  so  continue  until  relief  is 
obtained. 

The  next  important  remedy  is  the  white  of  eggs.  Have  the  whites  of  several 
eggs  beat  up,  mixed  with  cold  water,  and  let  them  be  drunk.  'J'his  will  never 
do  any  harm  and  will  certainly  give  relief,  if  the  poison  is  metallic,  or  if  the 
patient  's  suffering  with   violent  pains  in  the  stomach  or  bowels,  feels  as 


CHAP.  VIII.  POISONING.  57 

though  he  should  purge,  especially  in  cases  of  p  )isoning  by  corrosive  subli- 
mate, quicksilver,  verdigris,  compounds  of  tin  or  lead,  alum  or  vitriol.  Give 
the  white  of  eggs  freely  and  repeatedly,  when  the  substance  vomited  is  of  a 
red  or  green  color,  when  d^gs  refuse  to  eat  it.  when  the  patient  has  a  metallic, 
coppery,  or  salt  taste  in  his  mouth  ;  in  general,  when  you  suspect  that  he  has 
swallowed  verdigris,  red  lead,  verinillion,  corrosive  sublimate,  <tc.  If  the 
patient  finds  relief  from  taking  white  of  eggs,  you  will  continue  it,  and  should 
he  be  affected  with  diarrhoea  and  pain  in  the  anus,  give  him  an  injection  of 
water  and  white  of  eggs.  Subsequently  proceed  according  to  the  directions 
given  below. 

Another  very  important  remedy,  in  most  cases  of  poisoning,  and  applicable 
when  the  white  of  eggs  is  ineffective,  is  soaf-suds.  But  for  this  purpose  you 
must  not  take  soft  soap,  nor  any  resinous  hard  soap,  except  in  cases  of  the 
utmost  necessity,  nor  any  soap  which  is  stained-  red,  as  this  is  done  with 
poisonous  ingredients,  but  the  best  white  Castile  soap.  Dissolve  this  in  hot 
water,  and  let  the  patient  drink  a  tea-cup  full  of  it  warm  every  three  or  four 
minutes. 

Soap-suds  will  only  prove  injurious  when  the  poison  itself  was  alkaline,  such 
as  lye  or  potash,  soda,  caustic  potash,  salt  of  tartar,  spirits  of  hartshorn, 
smelling  salts,  salts  of  hartshorn,  sal  volatile,  lime,  slacked  or  burned,  barytes 
(often  sold  as  rats'  poison,  under  the  pretence  of  its  not  being  injurious  be- 
cause it  is  not  arsenic.)  When  the  substance  which  the  patient  vomits,  does 
not  smell  sour,  but  like  lye;  when  blue  paper  which  had  become  reddish  from 
having  been  drawn  through  vinegar,  is  turned  blue  by  it;  when  it  ferments 
upon  aqua  fortis  or  sulphuric  or  muriatic  acid  being  dropped  into  it — in  all 
these  cases  you  must  not  use  soap-suds,  but  substitute  vinegar. 

Soap-suds  is  a  principal  antidote  in  poisoning  by  arsenic,  lead,  oil  of  vitriol, 
aquafortis,  all  strong  acids,  and  most  metallic  solutions.  Yon  may  conclude 
that  the  poisoning  originated  from  acids,  when  the  mouth  of  the  patient  is  as 
if  scalded,  when  blue  paper  dipped  in  what  he  vomited  turns  red  on  the  in- 
stant. Soap-suds  is  also  applicable  when  a  person  has  swpJlowed  alum.  It 
will  also  prove  beneficial  in  poisoning  by  plants  of  a  burning,  acrid  taste, 
exuding  a  pungent  juice  or  milk;  likewise  in  dangerous  accidents  from  castor 
oil. 

The  Calcined  Magnesia  sold  by  all  druggists,  is  in  many  cases  still  better 
than  soap-suds.  Stir  it  in  some  water,  give  it  in  large  quantities,  repeating 
it  as  often  as  thrown  up  Particularly  useful  against  acids  and  some  metals 
as  mercury,  antimony,  zinc,  bismuth,  tin. 

YiNEGAR,  as  already  mentioned,  is  an  antidote  against  alkaline  poison.  As 
soon  as  this  is  ascertained  by  observation,  let  the  patient  drink  vinegar,  and 
give  him  injections  of  it.  Let  him  also  drink  slimy  gruel  which  will  excite 
vomiting.  But  vinegar  is  injurious  after  strong  vegetable  poisons,  various 
salts,  all  mineral  acids,  arsenic,  and  particularly  if  the  stomach  is  painful  when 
touched.  On  the  other  hand  it  is  of  great  service  in  cases  of  poisoning  by 
aconite,  laudanum,  mushrooms,  all  narcotics,  carbonic  acid  gas  and  liver  of 
sulphur.  In  such  cases  give  alternately  gruel  to  bring  on  vomiting,  and 
subsequently,  after  having  vomited  freely,  let  the  patient  drink  vinegar  again, 
which  will  remove  the  inclination  to  vomit.  Yinegar  also  answers  against 
poisonous  muscles  and  fish.  It  is  an  important  antidote  against  the  poison 
generated  in  fat.  If  a  person  feels  sick  from  having  eaten  spoiled  ham  or 
sausages,  and  his  throat  is  very  dry,  and  he  feels  nausea,  hasten  to  give  him 
vinegar  to  drink,  not  foi  getting,  however,  the  remedies  aforementioned. 


58  THE   MOST   COMMON   CAUSES   OF   DISEASE. 

Sweet  Oil  is  a  remoJy  by  far  too  generally  applied;  it  is  supposed  to  he  a 
principal  one,  which  it  is  not.  The  same  is  the  case  with  g-rease,  butter,  ano 
similar  things,  as  battered  water.  Attention  should  be  jiaid  to  the  kind  of 
oil  used.  Rancid  oil,  train  oil,  or  sperm  oil,  ought  not  to  be  applied.  Slimy 
substances  will  answer  far  better  to  envelope  the  poison,  or  sugar,  wliich 
sooner  sooth'.-s  tlie  stomach  ;  or  other  means  to  neutralize  the  poison.  When 
j-DU  are  sure  that  the  poison  is  alkaline,  and  you  are  applying  vinegar  success- 
fully, you  may  alternate  with  cream  or  sweet  oil,  particularly  when  the  patient 
complains  of  burning  in  his  mouth,  throat  or  stomach. 

Oil,  however,  may  be  applied  to  great  advantage,  when  a  strong  acid,  aqua 
fortis,  oil  of  vitriol,  &c.,  has  got  into  the  eye,  the  mouth,  the  throat,  or  the 
stomach.     Sometimes  it  is  of  service  against  poisonous  mushrooms. 

Oil  is  injurious  in  poisoning  by  arsenic ;  useless  in  most  poisonings  by 
metallic  substances,  and  very  injurious  when  cantharides  have  got  into  the 
eye  or  the  stomach.  It  is  literally  throwing  oil  into  the  fire.  This  is  also 
the  case  with  insects  and  venomous  bugs,  which  may  have  got  into  the  eye. 
Oil,  ou  the  contrary,  is  of  great  service  when  live  insects  have  crept  into  the 
ear. 

Milk  is  not  so  good  as  other  slimy  substances ;  but  as  it  is  more  frequently 
at  hand,  it  will  do  well  to  let  the  sufferer  drink  it,  instead  of  waiting  for  other 
things.  Rich  milk  is  good  wherever  oil  is  good,  injurious  wherever  that  is 
injurious.  Sour  milk  or  butter-milk  is  good  wherever  vinegar  is  so,  injurious 
wherever  that  is.  When  you  have  no  good  oil,  rich  milk  is  the  next  best 
thing;  also  when  oil  becomes  disgusting  to  the  patient.  Sour  milk  is  prefer- 
able to  bad  vinegar;  it  may  also  be  applied  where  vinegar  has  already  been 
used.  Milk  is  very  good  when  the  first  paroxysm  has  subsided,  and  yet  some 
pain  remains,  provided  the  patient  likes  it,  and  feels  revived  by  it.  When  you 
cannot  ascertain  what  kind  of  poison  the  sufferer  has  taken,  and  you  cannot, 
therefore,  choose  between  the  antidotes,  but  have  given  milk  in  the  first 
instance,  and  the  patient  feels  better  after  it,  you  may  continue  with  it.  on 
condition,  however,  that  the  patient  has  vomited  at  the  outset  so  much,  that 
you  may  suppose  the  poison  has  been  ejected. 

Sugar,  or  sugar  water,  is  in  most  cases  one  of  the  very  best  remedies. 
Only  when  you  are  certain  that  the  poison  is  a  mineral  acid,  or  strong  alkaline 
poison,  prefer  the  remedies  prescribed  against  such  poisons.  It  cannot  do 
much  harm,  were  you  to  apply  sugar  improperly.  If  the  person  who  is  poi- 
soned has  a  craving  for  sugar,  give  him  as  much  as  he  desires.  It  is  the  best 
antidote  against  metallic  poisons,  poisonous  paints,  verdigris,  copper,  tin, 
vitriol  or  alum  ;  continue  with  it,  if  the  patient  finds  relief  from  it ;  should 
he,  however,  not  feel  better,  alternate  with  whire  of  eggs  and  sugar ;  or, 
where  it  is  applicable,  with  soap-suds.  Against  arsenic,  sugar  is  also  a  prin- 
cipal antidote.  When  the  poisoning  has  been  effected  by  sharp  acrid  plants, 
which  occaiiion  a  burning  or  swelling  in  the  mouth,  or  in  the  throat,  you  may 
give  sugar  upon  other  tilings,  letting  the  patient  either  put  it  into  his  mouth, 
or  giving  it  to  him  in  water. 

Coffee  is  an  indispensable  antidote  in  many  cases  of  poisoning.  You  must 
be  careful  that  the  cofi'ee  has  not  been  spoiled  in  roasting;  give  it  at  first 
very  strong,  and  then  somewhat  weaker.  In  the  intervals,  do  not  neglect  to 
excite  vomiting,  should  it  be  still  required.  When  the  poison  is  unknown, 
coffee  is  the  best  thing  you  can  give  ;  when  the  patient  is  stupified.  sleepy, 
senseless,  giddy,  as  if  intoxicated,  his  face   red  and  full,  or  pale,  cold  and 


CHAP.  VIII.  POISONING.  69 

cndaverous  ;  or  when  he  acts  as  if  he  were  delirious  or  raving, — in  a  B  these 
cases,  give  him  plenty  of  strong  coffee,  excite  vomiting,  administer  injections 
of  coffee,  till  he  gets  better.  Even  after  he  has  vomited  the  whole  contents 
of  his  stomach,  continue  giving  him  the  coffee  with  sugar.  In  all  cases  of 
poisnniug,  give  coffee,  if  the  patient  desires  it. 

When  the  poison  is  known,  and  the  tepid  water  intended  to  bring  on 
vomiting,  and  tickling  in  the  throat  for  that  purpose  has  been  resorted  to,  give 
coffee  in  abundance,  as  a  drink  and  in  injections,  particularly  when  tne  poison 
contained  Prussic  acid,  which  you  will  know  from  its  smelling  like  bitter 
almonds,  or  peach  kernels,  or  peach  brandy.  Also  against  laudanum,  opium, 
morphine,  or  stramonium,  poisonous  mushrooms,  &c.;  when  a  person  has 
swallowed  the  juice  of  sumach,  or  when  dangerous  symptoms  appear  after 
medicine  containing  belladonna,  colocynth,  valerian,  conium,  cicuta ;  or  after 
chaniomile  tea.  Coffee  is  also  important  in  cases  of  poisoning  by  wine  of 
antimony,  or  when  antimony,  phosphorus  or  phosphoric  acid  have  been  swal- 
lowed, and  particularly  from  poisoning  by  nux  vomica  and  strychnine. 

Camphor  is  a  principal  antidote  in  all  poisonings  by  vegetable  substances, 
and  particularly,  sharp,  acrid,  burning  poisons,  which  cause  inflammation  and 
redness;  in  all  cases  of  poisoning,  if  the  patient  suffers  from  vomiting  and 
diarrhoea,  is  pale,  cold  as  ice,  and  almost  senseless  ;  in  such  cases,  if  j'ou  do 
not  know  what  kind  of  poison  has  been  taken,  you  should  prefer  giving  cam- 
phor. It  will  often  sufiQce  to  let  the  patient  smell  it,  or  it  may  be  rubbed  on 
his  skin,  or  given  by  drops  on  sugar.  You  can  make  a  salve  of  it  with  warm 
oil,  or  easily  dissolve  it  in  heated  brandy. 

It  is  the  principal  remedy  for  poisons  from  insects.  Against  cantharides 
(Spanish  flies),  whether  they  have  been  swallowed,  or  got  into  the  eye,  or 
when  used  as  a  plaster,  and  they  have  produced  poisonous  effects,  camphor 
is  always  the  best  remedy.  Also  when  venomous  insects  or  infected  honey 
has  been  swallowed  ;  for  swellings  or  poisonings  caused  by  hairy  caterpillars  ; 
for  violent  symptoms  after  eating  food,  in  which  small  bugs  or  worms  may 
have  accidentally  fallen,  or  when  small  moths  have  been  swallowed — likewise 
in  alarming  symptoms  caused  by  the  sting  of  insects. 

When,  together  with  the  other  symptoms,  the  patient  finds  it  difficult  to 
make  water,  or  it  is  very  painful  to  him,  and  the  urine  is  intermixed  with 
blood  and  you  have  cause  to  think  that  this  originates  from  Spanish  flies  or 
other  insects,  camphor  is  the  best  remedy.  > 

Camphor,  finally,  is  applicable  to  diminish  the  effects  which  medicine  may 
have  produced ;  vvhen  children  fall  sick  after  taking  the  usual  preposterous 
worm  medicines ,  in  accidents  from  tobacco,  bitter  almonds,  and  medicines 
ihat  have  the  smell  of  these  things,  or  cherry  stones,  peach  kernels,  acorns, 
or  nuts. 

It  is  very  useful  for  the  pains  left  by  the  use  of  phosphorus,  poisoning  by 
minerals,  or  acids,  and  particularly  salty  things.  When  everything  has  been 
ejected  from  the  stomach,  let  the  patient  smell  camphor  from  time  to  time. 
This  may  also  be  done  in  poisonings  by  mushrooms,  or  in  accidents  caused 
by  inhaling  the  fumes  of  coal  or  charcoal. 

The  ingredients  sometimes  requisite,  such  as  charcoal,  lye,  kitchen  salt, 
starch,  green  tea,  tobacco,  are  in  most  families ;  the  other  things  often  a.s 
necessary,  such  as  magnesia,  spirits  of  nitre,  spirits  of  hartshorn,  ought  to  be 
kept  likewise,  being  useful  not  only  in  cases  of  poisoning,  but  in  many  other 
diseases.     In  cases  of  poisoning,  things  of  this  kind  can  only  be  serviceable 


60  THE   MOST   COMMON   CAUSES   OF   DISEASE. 

if  the  poison  is  perfectly  known.     They  will  be  mentioned  in  their  propei 
place. 

From  the  preceding  remarks  it  is  evident,  that,  in  cases  of  poisoning,  i 
measures  ought  to  be  immediately  adopted  :  ' 

1st.  To  excite  vomiting. 

2d.  'I'o  lessen  the  effect  of  the  poison. 

At  first  you  will  have  to  attend  to  both  alternately,  subsequently  to  the 
latter  object  only. 

The  usual  emetics  are  poisonous,  and  may  therefore  prove  injurious ;  it  is, 
therefore,  best  to  excite  vomiting  by  the  following  means: 

Drinking  lukewarm  water,  as  much  and  as  often  as  possible. 

Tickling  the  throat;  and  only  when  this  proves  ineffective, 

Snuff  put  upon  the  tongue  ;  or  in  cases  in  which  this  has  no  effect, 

Ground  mustard  with  salt  in  water ;  and  only  in  cases  where  nothing  can 
be  introduced  into  the  mouth, 

Injections  of  the  smoke  of  tobacco. 

But  if  the  symptoms  are  very  urgent  and  it  is  thought  advisable  to  empty 
the  stnmach  as  soon  as  possible,  the  stomach-pump  must  be  applied. 

The  principal  remedies  to  lessen  the  effects  of  the  poison,  when  it  is  unknown, 
are,  if  there  is  great  pain,  water  and  the  white  of  eggs — if  insensibility  pre- 
dominates, coffee. 

As  soon  as  it  is  ascertained  whether  the  poison  is  an  acid  or  a  metal,  give 
soap-suds;  if  an  alkali,  give  vinegar. 

AH  other  remedies  are  only  applicable  when  you  know  what  kind  of  poison 
you  have  to  deal  with. 

Treatment  when  the  Poison  is  ascertained.        H 

Generally,  the  beforementioned  rules  hold  good  ;  besides  attending  to  the 
vomiting,  however,  administer  immediately  the  remedies  here  recommended. 

The  antidotes  recommended  against  each  particular  poison  have  been  ar- 
ranged according  to  their  efficacy,  the  most  efficacious  being  mentioned  first. 
When  these  are  not  at  hand,  give  what  can  be  first  procured.  If  a  person, 
for  instance,  has  swallowed  sulphuric  acid,  it  would  be  folly  to  wait  until  mag- 
nesia or  white  soap  could  be  brought  from  the  apothecary  ;  when  these  cannot 
be  had  on  the  spot,  take  a  handful  of  wood  ashes,  stir  them  in  water  and  let 
this  be  drunk  immediately,  although  it  will  not  answer  as  well.  If  this  is  not 
at  hand  use  soda  or  potash. 

I.  Poisoning  by  Inhaling  Gases  and  by  Substances 
introduced  into  the  Stomach. 

1.  POISONOUS  gases;  antidotes  and  treatment. 

a)  Gases  produced  in  places  deprived  of  a  fresh  current  of  air.  In  deep 
privies  that  have  not  been  cleansed  for  a  length  of  time;  in  places  deprived 
of  a  fresh  current  of  air,  where  offal  of  animals  is  suffered  to  decay,  a  poison- 
ous gas  of  a  foetid,  offensive  smell  resembling  that  of  rotten  eggs,  a-nd  in  which 
polished  metal,  particularly  silver,  turns  black,  is  generated. 

Such  gas  inhaled  will  cause  nausea,  nervousness  and  difiBculty  of  breathing  ; 
the  pulse  becomes  feeble,  there  is  an  expression  of  languor  about  the  eye;  a 
coldness  is  felt  in  1  he  ears;  the  abdomen  is  contracted,  and  unless  the  suf- 
ferer is  speedily  reiioved  from  its  influence,  convulsions  and  apparent  death 


CHAP.  VIII.  POISONING.  61 

\ 

en?ue,  -which  latter,  if  no  medical  aid  is  afforded,  will  temiinate  in   actual 
death.     The  l)est  remedy  is  chloride  of  lime,  or  chloride  of  zinc. 

Before  persons  expose  themselves  they  should  provide  chloride  of  lime, 
some  of  which,  diluted  with  water,  will  destroy  the  foetid  gas,  and  enable  them 
to  work  in  such  places  without  danger.  'I'he  bad  smell  is  also  speedily  re- 
moved by  throwing  in  a  few  shovelfuls  of  quick  linie. 

A  person  who  has  become  insensible  by  inhaling  this  gas,  should  im- 
mediately be  brought  into  the  fresh  air,  undressed,  and  placed  on  his  back, 
with  the  breast  elevated,  and  cold  water  thrown  plentifully  on  his  face  and 
breast.  If  you  have  a  solution  of  chloride  of  lime  in  water  at  hand,  dip  a 
sponge  in  it,  and  hold  it  occasionally  before  his  nose.  The  solution  should 
be  rather  weak,  so  as  not  to  excite  cough  in  a  healthy  person  who  inhales  it. 
Put  a  tablespoonful  of  the  strong  solution  into  a  tumbler  full  of  water,  and 
put  half  a  teaspoonful  of  this  into  the  mouth  of  the  sufl'erer,  repeat  it  every 
five  or  ten  minutes  until  the  patient  begins  to  revive. 

If  vinegar  can  be  had  sooner,  mix  this  with  an  equal  portion  of  water, 
and  sprinkle  the  face  with  it- — and  hold  a  sponge  dipt  in  vinegar  before  the 
nose  and  mouth. 

During  this  time  the  patient  should  be  rubbed  with  hot  flannel.  If  his 
face  has  been  sprinkled  with  cold  water  or  vinegar,  wipe  it  dry  after  a  little 
while  ;  then  rub  it  with  hot  flannel,  and  repeat  the  sprinkling.  The  feet, 
abdomen,  breast,  and  arms  particularly,  ought  to  be  well  rubbed.  The  soles 
of  the  feet  and  the  back  may  be  brushed  a  little  with  a  stiff  brush. 

Be  not  too  hasty,  but  proceed  gently  and  perseveringly.  Life  sometimes 
does  not  return  in  less  than  three  or  four  hours. 

If  the  patient,  apparently  dead,  does  not  breathe  at  all,  it  is  useless  to  hold 
a  sponge  before  his  nose  ;  only  try  from  time  to  time,  by  holding  a  light 
feather  there,  whether  his  breathing  has  recommenced.  Occasionally  blow 
breath  into  his  mouth,  which  is  best  done  by  a  person  inhaling  as  much  as  he 
can,  and  then  placing  his  mouth  on  that  of  the  patient  (whose  nose  should 
be  closed),  and  blowing  in  the  breath  gradually.  If  this  expands  the  chest, 
let  the  breath  go  out  of  itself,  and  repeat  the  operation.  If  the  breath  will 
not  come  out  again  of  itself,  place  a  towel  around  the  chest,  and  after  the 
breath  has  been  blown  in,  tighten  it  gently. 

By  thus  producing  an  artificial  respiration,  a  person  apparently  dead  may 
often  be  restored  again,  but  he  who  undertakes  the  operation  should  himself 
be  healthy,  and  have  a  sweet  breath,  and  either  'drink  some  vinegar,  or  rinse 
his  mouth  with  it  occasionally.  As  soon  as  the  patient  makes  an  attempt  at 
drawing  in  his  breath,  or  at  exhaling  it  with  a  sigh,  discontinue  these  eSbrts, 
and  gently  fan  fresh  air  toward  him,  and  when  the  breathing  becomes  stronger 
hold  a  sponge  to  his  mouth,  dipped  in  a  very  weak  solution  of  chloride  of 
lime,  or  vinegar. 

Care  must  be  taken  indeed,  lest  you  extinguish  the  feeble  life  which  is  just 
returning.  If  the  patient  recovers,  give  him  a  few  drops  of  a  weak  solution 
of  chloride  of  lime  or  vinegar  on  his  tongue.  If  he  complains  of  cold,  inclina- 
tion to  go  to  stool,  of  nausea,  and  vinegar  will  not  remove  these  symptoms, 
or  if  he  is  getting  tired  of  the  vinegar,  give  him  a  little  coffee  without  milk. 
If  he  complains  of  heat  and  great  weakness,  give  him  a  little  good  old  wine. 
The  smell  of  camphor  too,  is  often  beneficial ;  in  this  respect  consult  the 
wishes  of  the  patient ;  whatever  is  most  agreeable  to  him,  or  aff'ords  him 
relief,  deserves  the  preference. 

Another  poisonous  gas,  which  is  suffocating,  is  generated  in  deep  wells, 
vaults  and  lime  furnaces.  It  has  not  tlie  bad  smell  of  the  gas  above  men- 
tioned,  but  makes  him  who  inhales  it  sleepy,  giddy  and  at  last  senseless 

7 


62  THE   MOST   COMMOX   CAUSES   OF   DISEASE. 

Person?  a  fleeted  by  it  will  usually  revive  in  a  short  time,  by  bringing  tlion: 
sitf-edily  into  the  open  air,  sprinkling  them  with  cold  water  and  vinegar,  and 
pouring  coffoc  into  their  mouths.  Do  not  act  with  too  much  precipitation — 
di'lay  is  not  dangerous  in  such  a  case.  IF  respiration  does  not  return,  it  will 
be  necessary  to  inflate  the  lungs,  by  breathing  into  the  mouth. 

b)  (tiis  ijenerated  bj/  chnrcoal. — The  gas  arising  from  charcoal  is  a  most 
dangerous  poison,  particnlarh  to  persons  sleeping.  Never  sleep  with  lighted 
charcoal  in  a  room  which  has  not  an  open  fire-place.  The  same  applies  to 
coal.  Old  woodwork  too,  has  been  known  to  smoulder  for  days,  without  any 
smoke  being  perceptible  ;  the  inhabitants  of  the  house,  paying  no  attention 
to  the  somewhat  smoky  smell,  have  been  found  in  the  agonies  of  death,  before 
the  smouldering  was  at  all  perceptible. 

It  is  remarkable  that  all  persons  who  are  exposed  to  this  gas,  become  so 
feeble  as  to  be  unable  to  go  into  the  air,  to  open  doors  or  windows,  or  to  call 
for  aid.  Tliey  suffer  much  and  know  the  danger,  but  cannot  make  the  effort 
to  move  from  the  spot,  in  order  to  save  themselves.  A  similar  sensation 
seizes  upon  those  who,  in  extremely  cold  weather,  sit  down  in  the  open  air 
to  rest  themselves,  although  they  know  the  fate  that  is  before  them,  they 
want  energy  to  resist  it. 

Tho  symptoms  of  having  been  poisoned  by  gas  produced  from  coal  and 
charcoal,  if  animation  is  not  yet  suspended,  are  headache,  with  nausea, 
retching  and  vomiting — sometimes  of  blood  ;  a  heavy  burden  seems  to 
oppress  the  chest,  the  face  becomes  red,  and  at  last  purple  and  bloated,  the 
patient  is  seized  with  involuntary  and  hysteric  weeping,  talks  incoherently, 
falls  down  suddenly,  is  seized  with  fits  and  convulsions,  and  finally  becomes 
perfectly  unconscious,  and  is  seized  with  apoplexy. 

Carry  the  patient  into  the  fresh  air,  rub  him  with  vinegar,  and  let  him 
inhale  the  vapor  of  vinegar.  If  the  face  is  already  very  red,  and  he  begins 
to  rave,  throw  ice-cold  water  on  the  head.  In  general,  it  is  well  to  make 
cold  applications  to  the  head,  and  warm  applications  to  the  feet,  and  as  soon 
as  the  patient  can  swallow,  to  give  some  coffee  without  sugar  and  milk. 
When  the  patient  has  somewhat  recovered,  it  is  well  to  give  Opivvi,  and  to 
dispense  with  the  vinegar.  If  Opium  gives  relief,  but  only  for  a  short  time, 
repeat  it.  After  several  hours,  or  earlier,  if  Opinm  does  not  seem  very 
efficacious,  give  Belladonnu,  and  allow  it  sufficient  time  to  operate.  If  the 
patient  is  very  much  excited,  talks  much  and  rapidly,  complains  of  shooting 
pains,  or  if  it  seems  to  him  as  if  he  were  flying,  and  he  feels  giddy  when  lying 
down,  give  him  a  little  coffee  witliout  milk,  and  continue  it  until  the  symp- 
toms rctjuire  Bdhulouia  or  Kux  vainica. 

r)  Dry  r<if  in  (4d  buildings. — The  effect  produced  by  dry  rot  in  old  build- 
ings, is  similar  to  that  produced  by  charcoal  fire,  only  it  operates  less  sud- 
denly. It  is  better  if  possible  to  quit  such  houses,  or  to  rebuild  them  ;  but, 
if  people  have  to  live  in  them,  they  should  try  to  destroy  the  dry  rot  by 
means  of  charcoal  powder.  Place  as  much  of  this  as  possible,  above,  below 
and  around  the  spot  where  the  dry  rot  appears.  The  spots  themselves  may, 
from  time  to  time,  be  washed  over  with  a  strong  solution  of  blue  vitriol  or 
sulphate  of  copper,  or  still  better  chloride  of  zinc.  To  guard  against  the 
effects  of  dry  rot,  take  from  time  to  time  a  little  rain  water,  in  a  gallon  of 
which  a  few  drops  of  sulphuric  acid  have  been  mixed. 

d)  Chlorine  gas.—-'Vo  obviate  the  bad  effects  of  the  gas  produced  by  chlo- 
ride of  lime,  to  which  many  persons  are  exposed,  smoking  tobacco  is  the 
best  preventive;  or  you  may  drop  some  strong  brand)',  rum.  or  spirits  of 
wine  on  a  piece  of  loaf  sugar,  and  take  it  in  your  mouth.  The  first,  how 
evor,  is  to  be  prefei  ed. 


CHAP.  "^in.  POISONING.  63 

If  so  niucb  rf  [\m  y^^  has  been  breathed  as  to  cause  pain  in  the  throat 
and  chest,  a  sous'.-  of  saAocation  and  coughing,  let  the  patient  smell  the  bad 
air  froni  a  privy,  a  rotten  egg,  or  better  that  from  the  liver  of  sulphur,  sold 
by  druggists;  it  must  be  used  cautiously,  and  only  repeated  as  often  as  the 
pains  return. 

c)  FnisHc  ami  mimral  acidf!. — For  the  effects  caused  by  inhaling  the  poi- 
Bonoiis  vapors  of  Prassic  acid  or  mineral  acids,  the  best  remedy  is  spirits  of 
hartshorn  ;  but  by  no  means  apply  the  vial  containing  such  spirits  close  to 
the  nose  ;  this  would  only  increase  the  evil ;  rather  move  it  slowly  to  and 
fro,  at  the  dis'tancc  of  about  six  or  eight  inches  from  the  nose  and  mouth,  so 
as  to  smell  it  very  faintly,  and  repeat  this  as  often  as  necessary,  or  put  a  few 
dro])s  upon  paper,  and  introduce  the  paper  into  a  large  empty  bottle,  and 
smell  the  bo'.tle  from  time  to  time. 

Whether  the  vapors  are  from  acids  or  from  alkali,  may  be  discovered  by 
litmus  paper.  Acids  will  turn  it  red,  alkali  will  turn  that  which  has  been 
turned  red  by  acids,  blue  again.  In  cases  of  poisoning  by  acid  vapors,  you 
may  put  one  drop  of  spirits  of.hartshorn  into  a  tumblerful  of  water,  and  give 
of  this  mixture  a  teaspoonful  every  ten  minutes.  In  poisoning  by  vapor  of 
alkali,  give  from  time  to  time  a  teaspoonful  of  vinegar. 

It  is  very  injurious  to  sleep  in  rooms  M'hich  have  not  been  ventilated,  or 
which  have  been  shut  up  for  a  long  time.  The  air  has  then  become  stagnant 
and  putrid — we  may  almost  compare  it  to  the  water  in  standing  pools — and 
produces  nightmare,  frightful  dreams,  visions,  depression  of  spirits,  and  fear- 
fulness  approaching  to  horror.  The  best  preventive  is  proper  ventilation, 
not  by  opening  the  windows  merely,  but  by  introducing  a  strong  draught  of 
air,  increased  by  the  waving  of  towels,  or  a  blazing  fire  in  the  fireplace. 
Water  placed  in  shallow  vessels  about  the  room  will  likewise  answer.  But, 
if  the  purification  has  been  neglected,  and  the  cotiseqnences  mentioned  ensue, 
giVQ.  Acoiiitt ;  for  horror.  Opium;  for  continual  fear  and  shuddering.  Vera- 
trum;  for  headache  and  other  effects  arising  from  sleeping  in  an  apartment, 
where  there  were  flowers  emitting  a  strong  scent,  or  from  sleeping  on  new 
hay,  fresh  air  and  cold  washing  will  be  good,  and  also  the  administration  of 
Nux  vomica. 

In  complaints  caused  by  sleeping  in  rooms  which  have  been  recently  white 
washed,  or  where  clothes  have  been  hung  up  for  drying,  or  where  a  large 
quantity  of  clothes  has  been  kept  after  being  dried,  or  where  many  growing 
plants  are  standing  in  a  confined  place,  and  where  fruits  or  vegetables  are 
lying,  Bri/oiua  will  generally  be  beneficial,  sometimes  BeUadoiuui.  See  also 
"Headache." 

If  the  painting  of  houses,  rooms  and  furniture,  has  produced  complaints 
which  do  not  altogether  disappear  upon  going  into  the  open  air  or  after 
washing  with  cold  water,  Aruuite,  Bryunia  or  Sulphur,  will  prove  beneficial, 
and  sometimes  Opium  ;  if  it  has  produced  pains  in  the  bowels,  nausea  and 
vomiting,  wurse  when  moving,  give  Mercurivs.  It  is  well  to  put  a  tub  of  cold 
water  into  the  bedroom;  the  water  should  be  renewed  every  evening.  It 
will  absorb  the  poison.  Or  a  few  dishes  full  of  unslaked  lime  placed  about 
the  house,  will  soon  remove  the  disagreeable  smell.  In  general,  painting 
ought  to  be  done  in  autumn  only,  and  when  the  weather  is  dry  and  cool ;  for 
the  smell  will  then  soonest  disappear,  the  paint  adhere  best,  become  dry 
sooner,  and  be  less  liable  to  be  spoiled  by  insects  and  dust. 

Most  kinds  of  bad  smell,  which  sometimes  fill  a  room  or  even  a  whole 


64  THE    MOST    COMMON    CAUSES    OF    DISEASE. 

house  and  wliicli  cannot  always  be  avoid  -d.  as  for  instance  from  a  concealod 
dead  rat,  or  from  a  sick  person,  are  most  readily  and  surely  destroyed  by  the 
vapors  (if  rodsiiiui  cof/'ee.  Heat  a  common  fire-shovel  over  a  fire,  put  upon  it 
a  few  raw  coffee  boans,  and  as  soon  as  you  see  vapors  arise  from  the  beans, 
carry  the  shovel  about  the  room  or  whole  house.  The  purifjing  effect  of  even 
a  few  beans  is  really  surprising ;  the  usual  perfumeries,  smelling-salts,  &c., 
are  of  no  use;  they  merely  conceal  the  bad  smell,  but  do  not  destioy  it. 
Chloride  of  lime  is  not  so  effective  and  is  besides  injurious  to  most  persons. 
You  need  not  fear  of  interfering  with  tiie  effects  of  the  homoeopathic  reme- 
dies by  the  vapors  of  coffee,  if  their  effect  is  weakened,  repeat  the  medicine 
The  bad  air  is  much  the  worse  of  the  two. 


2.    POISONI.VG  BY  MINERAL  AND  OTHER  STRONG  ACIDS THEIR  ANTIDOTES  AXH 

.       TREATMENT. 

In  cases  of  poisoning  by  sulphuric  acid  or  oil  of  vitriol,  muriatic  acid  or 
spirits  of  salt,  nitric  acid  or  aqua-fortis,  aqua-regia,  salts  of  wild  sorrel,  phos- 
phoric acid,  acetic  acid,  wood-vinegar,  or  too  much  strong  vinegar,  the 
symptoms  are  a  sour,  burning  taste  and  smell,  a  burning,  acrid  heat  in  the 
throat  and  the  stomach,  retching  and  vomiting,  acute  pains  in  the  stomach 
and  intestines  ;  drinking  increases  the  pains — the  breath  soon  becomes  offen- 
sive ;  what  is  vomited  tastes  very  sour,  ferments,  and  blue  litmus  pajjer 
dipped  into  it  turns  red  ;  frequently  the  inside  of  the  mouth  looks  as  I'f 
sciilded  and  marbled.     In  this  case  give  : 

1.  Tepid  soapsuds  in  great  abundance. 

2.  Magnesia — a  spoonful  in  a  cup  of  water — after  every  fit  of  vomiting,  or 
repeated  when  the  pains  increase.  Calcined  magnesia  is  not  so  good  as 
eommon  magnesia. 

8.  Chalk  powdered  and  mixed  in  a  tumbler  full  of  warm  water. 

4.  Woodashes — a  spoonful  mixed  in  a  tumblerful  of  warm  water. 

5.  Potash  or  soda- — dissolve  as  much  as  will  lie  upon  the  end  of  a  knife  in 
a  large  tumbler  of  warm  water. 

Give  Nos.  1  and  2  alternately;  the  others  are  intended  merely  as  substi- 
tutes until  the  former  can  be  procured. 

After  the  patient  has  vomited  sufficiently,  let  him  drink  gruel  or  barley 
water,  decoction  of  linseed  or  rice,  or  any  thing  else  of  a  mucilaginous  cha- 
racter that  is  at  hand,  and  let  him  use  nothing  else  for  several  days.  When 
the  worst  is  past,  give  after  sulphuric  acid,  l-'ulsn/illa ;  after  muriatic  acid, 
Briionia ;  after  nitric  acid,  Ilfpar  ;  after  phosphoric  acid,  Caffca;  after  other 
acids  or  wood-vinegar,  Aconife. 

When  strong  acids  have  got  into  the  eye,  oil  of  almonds  or  fresh  unsalted 
butter  should  be  freely  applied  to  it ;  occasionally  you  may  apply  chalk,  mixing 
it  previously  with  water  until  the  latter  assumes  a  curdled  appearance.  Pure 
water  is  injurious,  and  should  not  be  used  to  wash  the  eyes  with  until  later. 

For  an  external  scald  or  burn  with  strong  acids,  limewater  is  good,  or  a 
salve  made  of  limewater  and  sweet  oil. 

3.    ALKALINE  POISONS— THEIR  ANTIDOTES  AND  TREATMENT. 

Pot  and  pearl  ash,  caustic  potash,  lye,  carbonate  of  potash,  soda,  ammonia, 
hartshorn,  salvolatile,  smelling  salts,  burnt  and  unslacked  lime,  may  be 
known  by  their  alkaline,  urinous,  acrid  taste  ;  and  in  vomiting  caused  by 
them  there  is  no  fernientalion  of  the  substances  ejected  ;  litmus  paper  which 
has  been  turned  red  liy  acids  becomes  blue  again  by  being  dipped  into  them; 


i 


CHAP.  VIII.  POISONING.  65 

the  symptoms  are  nearly  the  same  as  from  acids,  with  the  exceptions  men- 
tioned above,  and  what  is  thrown  up  is  not  sour. 

1.  Stir  two  tahlespoonfiils  of  vinegar  in  a  glass  of  water,  warm,  if  you  can, 
and  give  a  wineglassful  of  it  every  five  minutes.  2.  Lemon  juice  or  other 
acids,  but  greatly  diluted — or  sour  fruit  bruised  in  water.  3.  iSoiir  milk  or 
butter-milk.  4.  Mucilaginous  drinks  and  injections.  5.  Oil.  particularly 
that  of  sweet  almonds,     6.  Lemonade  made  of  cream  of  tartar. 

Emetics  are  dangerous,  and  vomiting  should  only  be  excited  by  the  above- 
mentioned  drinks,  and  by  tickling-  the  tliroat  with  a  feather. 

In  poisoning  with  carbonate  of  baryta  (a  peculiar  kind  of  heavy,  white 
earth,  whicli  is  sometimes  sold  as  ratsbane,)  pure  vinegar  is  injurious  ;  in 
this  case  give  merely  mucilagiaous  things  and  oil,  and  endeavor  to  excite 
vomiting,  until  you  can  procure  (jllauber's  salts  (sulphate  of  soda,)  or  Epsom 
salts,  which  should  be  dissolved  in  water  and  drunk  freely,  much  diluted 
sulphuric  acid  will  answer  also.  Afterwards  let  the  patient  occasionally 
smell  of  camphor,  or  if  this  is  of  no  use,  smell  sweet  spirits  of  nitre.  After 
poisoning  from  potash,  Carho  vegetahiUs  :  after  hartshorn,  Hepur. 

4.       OTHER    SUBSTANCES    WIITiH    HAVE    A    POWERFUL    EFFECT. ANTIDOTES    AND 

TREATMENT. 

a)  Liver  of  SuJjihir. — To  counteract  the  effects  of  liver  of  sulphur,  give 
mucilaginous  drinks  mixed  with  a  weak  solution  of  chloride  of  lime,  as  long 
as  the  breath  exhales  the  odor  of  sulphureted  hydrogen.  If  drinking  warm 
water  and  tickling  the  throat  does  not  produce  voniiling,  give  a  w«ak  solu- 
tion of  tartar  emetic.  After  the  patient  has  done  vomiting,  and  the  bi'eatli 
has  no  longer  the  sulphurous  smell,  give  Bi'Uad<iii.iia. 

h)  lo'Hiic  is  often  given  as  a  medicine,  although  it  sometimes  produces  sud- 
den and  dangerous  effects.  To  remove  these  effects,  give, — 1.  Starch  stirred 
in  water;  2.  Paste  made  out  of  starch  ;  .3.  Wheat  flour,  and  afterwards  thin 
mucilaginous  drinks  ;  4.  Vomiting  should  be  promoted  by  drinking  a  weak 
solution  of  carbonate  of  soda,  and  tickling  the  throat  with  a  feather.  For 
the  remaining  symptoms,  give  Hi-pir;  sometimes  BMarloiiua. 

c)  Phiisp'onis.- — Oil  and  fat  of  all  kinds,  when  given  for  the  bad  effects  of 
phosphorus,  are  dangerous.  Give  merely  mucilaginous  or  albuminous  drinks, 
holding  magnesia  suspended,  and  excite  vomiting  as  quickly  as  possible  ;  if 
you  cannot  succeed  in  doing  this  immediately,  make  use  of  tobacco  or  mus- 
tard, and  afterwards  give  coffee  without  milk.  Some  hours  after  it,  a  spoon- 
ful of  magnesia  has  frequently  a  good  effect;  it  is  best  to  use  the  magnesia 
stirred  into  a  weak  solution  of  chloride  of  lime.  If  neither  this  nor  the 
smelling  of  camphor  gives  relief,  give  Xnx  romica.  If  the  patient  desires  it, 
give  a  little  good  old  wine  or  brandy,  but  only  a  few  drops  on  sugar. 

d)  Alco/iol,  or  strong  spirits  of  wine  and  ether,  taken  inadvertently,  may 
produce  dangerous  consequences.  Generally  it  suffices  to  give  milk  and 
mucilaginous  drinks.  If  these  do  not  answer,  give  a  drop  of  strong  hartshorn 
in  a  glass  of  sugar-water,  a  teaspoonful  at  a  time.  'J'hrow,  also,  cold  water 
on  the  head,  and  place  wet  towels  on  the  region  of  the  stomach.  If  that 
does  not  give  relief  in  a  short  time,  give  Nnx  vomiat,  and,  as  long  as  the 
stomach  can  bear  it,  mucilaginous  drinks.     Afterwards,  coffee  without  miik. 

f)  Pnissic  acid. — Known  by  the  smell  resembling  that  of  bitter  almonds. 
It  operates  so  rapidly  that  you  must  lose  no  time  in  administering  the  proper 
remedies.  In  such  a  case  there  is  no  time  to  excite  vomiting.  Let  the 
patient  smell  spirits  of  sal  ammoniac,  held  at  a  little  distance.  Drop  a  little 
on  a  handkerchief,  and  hold  it  so  that  only  a  faint  exhalation  may  reach  him, 

/  7* 


66 


THE   MOST   COMMON   CAUSES   OF   DISEASE. 


Or,  put  a  drop  of  it  into  a  tumblerful  of  water,  stir  it,  and  give  him  a  tea- 
Bpoonful  of  it  every  three  to  five  minutes.  Without  loss  of  time,  bare  the 
patient's  back  and  pour  pitchers  of  cold  water  down  his  spine,  continually, 
until  he  recovers  his  senses.  As  soon  as  you  can,  get  coffee  made,  give  plenty 
of  it  to  drink,  and  also  in  injections.  If  no  other  remedies  are  near,  let  the 
patient  smell  camphor  or  vinegar,  and  inhale  the  vapor.  Afterwards  give 
Ci'Jf'en  or  Ipecacu  iiiha)  and  if  this  does  not  remove  all  the  symptoms,  give 
Ntix  vomica. 

f)  Ahiiii. — Give  soap-suds  or  sugar-water,  mixed  with  calcined  magnesia, 
until  vomiting  ensues  ;  afterwards,  PidsatiUa  or  Veratnim. 

g)  Vitriol,  whi/c,  green  and  blue — Give  sugar  and  warm  water,  or  the  white 
of  eggs  dissolved  in  cold  water,  until  the  patient  has  vomited  several  times; 
afterwards  give  gruel,  &c. 

h)  Saltpetre  and  Sat  Ammoninc. — Give  tepid  water  or  melted  butter  mixed 
with  water,  until  the  patient  vomits  copiously ;  then  plenty  of  mucilaginous 
drink. 

i)  Bichromate  of  Potash. — Beautiful  red  crystals,  very  poisonous.  Acetate 
of  lime  or  liver  of  sulphur  are  said  to  be  the  antidotes. 

5.       METALLIC    SUBSTANCES ANTIDOTES    AND    TREATMENT. 

a)  Arsenic. — Arsenic  is  contained  in  ratsbane,  fly-stone,  cobalt,  king's 
yellow  and  orpiment ;  in  fever  drops,  salves  and  plasters  for  cancers,  and 
numerous  secret  remedies,  particularly  in  those  for  -lorses  and  cattle.  In 
cases  of  poisoning  with  arsenic  proceed  as  follows  : — If  vomiting  is  not 
already  present,  give  mucilaginous  drinks,  such  as  linseed  tt>a,  milk,  or  albu- 
minous fluids.  The  best  emetic  is  powdered  mustard,  one  or  two  tea- 
spoonfuls  in  a  glass  of  water.  A  soapy  li(|uid,  made  with  equal  parts  of  oil 
and  lime-water,  should  also  be  given.  The  stomach-pump  should  also  be 
used.  The  hydrated  sesquioxide  of  iron,  which  had  formerly  a  great  repu- 
tation, seems  to  have  no  claims  to  be  considered  a  chemical  antidote,  and  has 
no  advantages  over  mucilaginous  or  albuminous  drinks.  Fresh  blood  has 
been  recommended,  but  it  is  not  superior  to  the  means  above  indicated.  There 
is  great  danger,  even  when  the  whole  of  the  poison  has  ap])arently  been 
ejected  from  the  stomach,  especially  if  it  has  remained  a  considerable  time 
in  the  stomach.     Vinegar  is  of  no  use,  and  oil  is  injurious. 

After  the  poison  has  been  got  rid  of,  as  far  as  that  was  practicable,  give 
Ipecacuanlia  several  times  ;  if  the  patient  still  feels  very  uneasy  and  irritable 
by  night,  is  also  feverish,  China;  if  he  is  worse  during  the  day,  after  sleep- 
ing— if  he  is  constipated,  or  has  slimy  diarrhoea,  Nnx  vomica.  If  Ipecucnanha 
leaves  frequent  nausea,  vomiting,  with  heat  or  cold,  and  great  weakness, 
Vcralruin. 

The  liquid  which  hatters  use  in  the  manufacture  of  fine  hats  contains 
arsenic.  The  wearing  of  such  hats  frequently  causes  eruptions  on  the  fore- 
head, or  sore  eyes;  and,  perhaps  the  frequent  baldness  of  young  persons, 
said  to  prevail  since  the  general  use  of  silk  in  preference  to  beaver  hats,  may 
be  attributed  to  the  same  cause.  To  prevent  this,  have  the  hat  well  lined 
with  silk  and  leather,  and  for  the  bad  effects,  take  Hep  ir.  Green  paint, 
green  carpets  frequently,  and  green  wall  papers  most  always,  contain  a  com- 
pound of  arsenic  and  copper  which  often  occasions  symptoms  of  arsenical 
poisoning,  which  will  require  Hepar  for  their  removal.  Some  composition 
candles  also,  are  prepared  with  arsenic,  which  renders  them  unwholesome. 

b)  CorroA-iv  subliniiite. — For  tlis  poison  give,  1,  the  white  of  eggs  in  water; 


CHAP.  VIII.  POISONING.  67 

2,  sugar-water  ;  3,  milk  ;  4,  starch  made  from  wheat  flour,  dissolved  or  boiled 
in  water ;  5,  flour  paste  ;  6,  endeavor  to  promote  vomiting. 

White  of  eggs  in  water  is  the  principal  remedy ;  you  may  give  it  alter- 
nately with  sugar-water.  The  remaining  symptoms  require  the  same  treat- 
ment as  those  from  poisoning  by  mercury.     See  "  Mercury." 

c)  Copper,  Verdiijri.'i. — P^r  these,  or  any  other  preparation  of  copper,  give, 
1,  white  of  eggs;  2,  sugar — both  with  or  without  water;  3,  milk;  4,  other 
slimy  substances  ;  the  protosulphuret  of  iron  is  said  to  act  as  an  antidote  to 
ctipper-poisoning  ;  it  may  be  given,  if  at  hand,  in  doses  of  a  teaspoonful 
eveiy  half  hour.  If,  however,  it  cannot  be  had  immediately,  a  rude  prepara- 
tion of  it  maybe  made  in  the  following  waj%  with  a  stick  of  brimstone.  Take 
a  flat  pii'ce  of  iron  and  make  it  red  hot.  Then,  let  th?  sulphur  melt  on  it  so 
that  it  runs  along  its  surface,  and  let  it  drop  into  water.  After  that  tako 
the  sulphur,  grind  it,  and  mix  it  with  water,  shaking  it  well.  After  the 
coarser  particles  have  settled,  let  the  patient  drink  the  water  quickly,  a 
tablespoon ful  or  even  a  teacupful  at  a  time.  This  will  also  answer  in  cases 
of  poisoning  by  other  metals.  But  if  it  cannot  be  given  immediately  admin- 
ister the  white  of  eggs  forthwith. 

d)  Le.i'L — In  poisoning  by  lead  give,  1,  sulphuret  of  iron,  prepared  as 
above  ;  2,  epsom  salts  or  sulphate  of  magnesia  ;  3,  Glauber's  salts  or  sulphate 
of  soda.  The  former  is  the  best  ;  when  it  cannot  be  had  take  the  latter.  A 
tablcspoonful  should  be  dissolved  in  a  pint  of  warm  water,  and  drunk  ia 
abundance  if  much  of  the  poison  has  been  taken  ;  4,  white  of  eggs  ;  5,  soap  ; 
6,  milk.     Vomiting  should  be  excited  as  speedily  as  possible. 

After  +he  salts  or  soap  give  mucilaginous  drinks  and  injections. 

For  paius.  Opium,  BtlliuLunm,  Gloiiolne,  or  Nvx  vomica.  For  the  chronic 
complaintj  c  lused  by  lead  in  those  who  have  anything  to  do  with  lead-paint, 
or  of  tho.e  nbo  live  near  lead-works,  use,  besides  Opium  and  Belladonna, 
Plaiina.  Bma,ll  doses  of  alum  are  also  useful.  A  good  preventive  for 
those  who  wo-k  in  lead-works,  is  lemonade  made  with  sulphuric  acid,  one  or 
two  drops  of  it  to  a  tumblerful  of  water. 

Puironing  by  lead  occurs  very  often,  from  sour  victuals  being  left  in  tin 
vessels,  for  tin  is  nearly  always  mixed  with  lead.  Things  that  are  sour  or 
sourish  should  never  be  allowed  to  cool  or  to  remain  in  metal  vessels,  nor 
should  silver,  tinned  or  tin  spoons  be  left  in  victuals.  Sour  things  should 
only  be  kept  in  stoneware,  porcelain  or  glass. 

t)  i\itia  c  (if  l^iivtr.  Luiiiir  Caustic,  Lipis  InfcrnaJis. — Give  common  salt 
dissolved  in  water  in  abundance ;  endeavor  to  promote  vomiting,  and  after- 
wards give  mucilaginous  drinks. 

_/  )  Antiinonij. — For  poisoning  by  this,  taken  either  as  antimonial  wine  or 
tartar-emetic,  give,  1,  a  decoction  of  gall-nuts,  or  oak  bark,  or  the  peel  of 
pomegranates  ;  2,  strong  black  tea  ;  3,  cofl'ee  without  milk,  in  large  quanti- 
ties ;  4,  mucilaginous  drinks. 

For  convulsions  give  Opium.  If  the  vomiting  does  not  cease  soon,  put 
the  jtalient  into  a  warm  bath,  or  apply  a  hot  cloth  over  the  stomach  and 
abdomen,  and  give  Opi'nn  and  Ipecucnanka,  alternately,  every  five  to  ten 
minutes;  if  not  better  soon,  LacI.esis;  for  nausea  and  other  effects,  Ipecacu 
iin'i  I  or  Nnx  vomica. 

ii)  Ti'i. — For  poisoning  by  tin,  give,  1,  white  of  eggs;  2,  sugar;  3,  milk; 
with  all  tliese  magnesia  should  be  mixed,  as  it  decomposes  the  salts  of  tin. 

The  chronic  eftecis  of  tin,  which  occur  so  frequently,  from  the  tin  being 
Bcrapecl  oft'  from  the  tin  utensils,  are  mitigated  by  Fidsatilla. 

h)  Ciluride  of  iin.—l,  milk;  2,  sugar;  3,  white  of  eggs;  afterwards 
H'par  and  PulsaliLUu 


68  THE    MOST   COMMON   C  ..USES   OF   DISEASE. 

i)  Zinc,  sulphate  of  ziuc— Proceed  as  stated  under  antimony  ;  after\/ards 
Hepar. 

6.    VEGETABLE    POISONS,    ANTIDOTES    AND    TREATMENT, 

a)  Poisomvs  nnishrooni'!.— These  fungi  do  not  generally  produce  any  per 
ceptible  effect  until  several  hours  after  they  have  been  taken.  'J'he  abdomer, 
then  becomes  enlarged,  with  a  cutting  pain  in  the  region  of  the  stomach  ; 
vomitins-  and  purging  preceded  by  thirst,  nausea,  hiccoagh,  agitation  ;  cold- 
ness of  the  limbs, "small  pulse,  numbness,  incoherent  talking  and  convulsions. 
If  these  symptoms  appear,  promote  vomiting,  and  let  the  patient  drink  freely 
of  cold  water,  as  cold  as  it  can  be  had  ;  from  time  to  time  give  finely  pow- 
dered charcoal,  made  into  a  sort  of  paste  wnth  sweet  oil.  Should  this  not 
afford  sufficient  relief,  let  the  patient  smell  gently  of  spirits  of  hartshorn. 
The  remaining  symptoms  may  be  removed  by  wine  or  coffee. 

b)  Blighted  corn,  Ergot. — Blighted  corn,  or  those  thick,  black  grains  in 
Indian  corn,  rice,  wheat,  rye  or  other  grains  ;  also  the  sweet  or  black  rusty 
taint  in  grain  is  very  injurious  to  man  and  beast;  The  ill  effects  of  it,  how- 
ever, can  be  counteracted  by  the  common  black  nightshade,  bruised  in  cold 
water,  and  then  hot  water  poured  on  it.  Inhale  the  vapor  of  this  or  wash 
the  cattle  with  it. 

c)  lufoxicating  phtntf;. — For  plants  which  are  intoxicating  in  their  effects, 
making  the  person  who  takes  them  drunk,  or  depriving  him  of  consciousness, 
making  him  delirious  and  raving,  the  principal  antidote  is  coffee  drunk  in 
large  quantities  and  given  in  injections.  For  some  of  these  substances,  such 
as  opium,  laudanum,  or  poppy  heads  and  thorn-apple,  vinegar  answers  very 
well.  If  the  patient  has  a  red  face,  red  eyes,  looks  wild  and  stares,  cold 
water  thrown  over  him  is  very  useful. 

For  parts  of  plants  which  smell  of  bitter  almonds,  and  consequently  con- 
tain that  virulent  poison  Frussic  acid,  such  as  bitter  almonds,  peach  kernels 
and  peach  leaves;  also  for  cordials  prepared  with  thum,  such  as  cherry 
brandy,  yx^rsico  and  noyau,  and  many  medicinal  compounds  into  whose  com- 
position it  enters,  in  all  of  which  it  is  easily  detected  by  the  peculiar  smell 
and  bitter  taste  and  by  its  effects  :  heaviness,  giddiness,  oppression,  particu- 
larly on  the  chest,  first  a  quick,  afterwards  a  slow  pulse,  paralysis  or  a  feeling 
as  if  paralysis  were  about  to  ensue :  for  all  these  coffee  without  milk  is  the 
chief  remedy,  and  in  very  dangerous  cases,  spirits  of  hartshorn,  of  which  the 
patient  may  smell  gently  from  time  to  time,  or  mix  a  few  drops  ifi  a  tumbler 
of  water,  and  give  every  ten  or  fifteen  minutes  a  teaspoonful.  When  the 
symptoms  are  very  violent,  the  cold  effusion  on  the  spine  described  before 
will  be  requisite. 

(/)  Ojiiiiin  or  landannm. — For  poisoning  with  opium  or  laudanum,  the 
seeds  of  poppy,  or  a  decoction  of  pop])y  heads,  w'hich  are  foolishly  given  to 
children  to  make  them  sleep,  coffee  is  the  best  antidote  ;  1>efore  this  can  be 
got  ready  give  vinegar;  if  the  patient  lies  insensible,  drag  him  about  the 
room  between  two  persons,  talk  to  him  end  beat  him  hard  on  the  back  and 
hips  until  consciousness  is  restored.  Emetics  are  useless,  and  if  the  drinking 
of  coffee  does  not  produce  vomiting,  try  to  force  it  with  cold  water  and  tick- 
ling the  throat  with  a  feather ;  in  very  hard  cases,  the  stomach-pump  must 
be  used.  Sometimes  a  tea  made  with  oats  will  answer  (that  is  common  oats 
such  as  are  given  to  horses),  wash  well,  a  large  handful  of  thesQ,  and  then 
pour  two  or  three  cups  of  boiling  water  on  them  ;  give  a  tablespoonful  at  a 
time.  Some  time  after,  it  is  well  to  give  Ipecacuanha,  repeating  it  a  couple 
of  times,  and  if  the  pains  remain,  after  some  days,  Mercuriui.    For  poisoning 


CHAP.  VIII.  POISONING.  69 

with  the  seeds  of  Stramonium,  called  also  thorn-apple,  give  also  coffee  and 
lemon  juice,  or  vini.>gar  in  large  quantities  ;  if  no  vomiting  ensues,  tobacco 
is  very  applicable  in  this  case  ;  for  the  remaining  symptoms  give  Xiix 
vomica. 

e)  Poison  vine. — Poison  vine  is  apt  to  cause  a  complaint  similar  to  St.  An- 
thony's fire  (erysipelas.)  Rubbing  or  scratching  should  be  avoided  as  much 
as  possible,  and  strong  washes  or  unguents  to  drive  in  the  eruption  are  also 
higlily  injurious.  If  careful  VFashing  with  soap  and  water  does  not  relievi; 
the  itching,  try  rubbing  with  wheaten  bran,  or  dusting  with  hair-powder. 
Let  the  patient  abstain  from  every  thing  that  is  heating  and  stimulating,  and 
take  Bryonia,  to  be  repeated  if  the  complaint  gets  worse.  If  the  irritation 
is  in  the  face,  and  Brijonia  does  not  give  relief,  give  Belladonna.  A  wash  of 
a  weak  solution  of  copperas  (sulphate  of  iron)  is  very  useful. 

External  injuries  from  plants  which  exude  a  pungent,  milky  juice,  and 
which  are  very  common  in  the  country,  are  cured  by  washing  with  soap- 
water  and  afterwards  with  brandy.  If  some  of  the  juice  has  got  into  the  eye, 
apply  the  oil  of  almonds,  uusalted  butter  or  milk  ;  if  it  has  got  into  the  sto- 
mach, use  soapsuds,  milk,  &c.,  but  neither  acids  nor  emetics.  The  same 
holds  good  of  all  acrid,  burning,  corrosive,  vegetable  substances,  as  gamboge, 
euphorbium,  &c. 

/)  Fink  root. — In  cases  of  poisoning  by  that  noxious  plant.  Pink  root, 
(Spigelia,)  so  frequently  given  for  worms,  let  the  patient  smell  camphor,  give 
him  coffee  without  milk,  and  if  after  the  expiration  of  several  days,  palpita- 
tion of  the  heart,  giddiness,  &c.,  still  remain,  give  Mcrcurius. 

y)  Camphor  and  Saffron. — In  cases  of  poisoning  with  camphor  or  saffron, 
give  coffee  without  milk  till  it  brings  on  vomiting,  and  if  all  the  symptoms 
do  not  disappear.  Opium  every  hour  until  they  cease. 

/()  Spirits  of  Turpentine. — In  cases  of  poisoning  with  spirits  of  turpentine, 
Opium,  Belladonna,  or  Bryonia  will  prove  efficacious.  If  the  kidneys  are 
m  ich  irritated,  Cantharis  should  be  given. 

For  poisoning  by  all  other  vegetable  substances  let  the  patient  smell  cam- 
phor, and  give  him  coffee  to  drink  if  the  camphor  does  not  afford  relief.  If 
they  produce  a  feeling  of  numbness,  weak  vinegar  may  also  be  given  ;  if  very 
painful,  soapsuds  and  milk. 

7.    ANIMAL  POISONS.       ANTIDOTES  AND  TRKATMENT. 

a)  Spanish  flies. — Spanish  flies  (cantharides,)  or  plasters  made  thereof, 
contain  virulent  poison,  which  not  un frequently  produces  very  serious  symp- 
toms, especially  if  it  gets  into  the  stomach  or  into  the  eyes.  It  causes  vio- 
lent burning,  which  is  aggravated  by  oil,  fat,  milk.  <fec.  The  best  antidotes 
to  be  used,  both  inwardly  and  applied  to  the  eyes,  are  the  white  of  eggs  and 
tepid,  slimy  substances,  such  as  gruel,  etc.  Apply  these  plentifully  to  the 
eye,  or  if  you  have  nothing  else,  use  flour,  and  do  not  wash  and  rub  too 
much.  The  poisonous  substance  may  often  be  extracted  with  a  narrow 
strip  of  linen  or  paper  rolled  into  a  point. 

For  all  bad  consequences  arising  from  taking  cantharides,  or  from  their 
application  in  blisters,  and  for  similar  poisoning  from  other  insects,  camphor 
is  the  chief  remedy.  Let  the  patient  smell  it  every  minute,  and  rub  with 
spirits  of  camphor  the  parts  most  affected.  For  headache  rub  the  temples  ; 
for  violent  pains  in  the  kidneys  or  bladder,  rub  the  loins  ;  if  camphor  should 
afford  no  relief,  omit  it  and  give  Ani>ii)ivirn'<. 

b)  Poisonous  honey. — For  the  injurious  effects  of  poisonous  honey,  camphot 


70  THE    MOST   COMMON   CAUSES   OF   DISEASE. 

is  also  most  to  be  recommended.  It  should  be  frequently  smelt,  and  fric 
tions  with  it?  solution  in  spirit  performed.  Inwardly  give  warm  tea  or  coffee 
without  milk. 

v)  Hiiir  01'  Ciili'iyUlars. — The  hair  of  caterpillars  is  apt  to  cause  violent 
inflammation.  Do  not  rub,  for  it  will  only  make  it  worse  ;  but  apply  hand- 
kerchiefs which  have  been  moistened  with  spirits  of  camphor. 

d)  S-idl-iish  an  I  other  jioi-^oiio'is  fi.ih.  (fr. — Among  shell-fi.-h,  such  as  clams, 
muscles,  cockles,  i^'c.  we  sometimrs  find  some  which  are  poisonous  and  pro- 
duce troublesome  complaints.  If  there  is  an  inclination  to  vomit,  encourage 
it  ;  give  charcoal  with  sugar  and  water,  or  in  molasses  ;  let  the  patient  smell 
camphor  and  afterwards  drink  coffee  without  milk.  For  efuptious  and 
swelling  of  the  face,  give  ni'fUid'mua. 

If  poisonous  fish  produce  bad  symptoms,  give  finely  powdered  charcoal 
with  brandy,  and  if  this  affords  relief,  some  hours  after,  coffee  without  milk  ; 
if  it  does  not  afford  relief,  give  quantities  of  sugar  to  eat  or  to  drink  in  water  ; 
if  this  also  proves  iueftectual,  give  weak  vinegar  internally  and  apply  it  ex- 
ternally. 

When  the  poison  or  urine  of  idad^\frn,j.<t  or  lizai-Jy,  ha?  got  into  the  eye. 
washing  the  eye  with  warm  milk  and  water  has  been  recommended,  this  will 
do  no  good,  but  salidi  will.  The  saliva  of  a  healthy  person. — not  of  one  who 
is  smoking  or  chewing  tobacco,  will  neutralize  the  acidity  of  the  poison, 
quicker  than  anything  else.*  Next  give  Afoiti'r  every  hour,  or  as  often  as 
it  is  worse.  If  the  poison  has  entered  the  mouth,  take  as  quickly  as  possible 
a  tablespoonful  of  finely  powdered  charcoal  with  milk  or  sweet  oil.  If  sudden 
and  dangerous  symptoms  appear,  let  the  patient  smell  sweet  spirits  of  nitre. 
Some  time  after  give  Arsenicutn. 

e)  I'l/i.^nn  of  faf  in  hnlf-putrejird  ment. — The  poison  of  fat  generated  in 
half-putrefied,  half-sour  meat,  blood  and  fat,  and  also  in  cheese,  particularly 
in  blood-puddings,  liver-puddings,  sausages,  sour  pork,  bacon  and  hams,  old 
rancid  goose-grease,  and  substances  not  sufficiently  or  regularly  smoked,  is 
very  injurious.  It  is  generated  very  fast,  and  things  which  are  eatabe  to-day, 
may  be  poisonous  to-morrow. 

The  principal  symptoms  of  this  poison  are  :  heartburn  and  nausea  :  a  feel- 
ing of  dryness  in  the  ihruat.  extending,  by  degrees,  into  the  mouth,  the  nose, 
ears  ami  even  the  eyes,  and  after  some  days  cracking  of  the  skin  of  the  eye- 
lids, the  sides  of  the  nose  and  the  points  of  the  fingers.  The  voice  becomes 
hoarse  very  soon,  the  pulse  is  slow  and  weak  ;  hunger  and  thirst  are  very 
great,  but  the  patient  can  scarcely  swallow  any  thing.  It  is  generally 
attended  by  great  weakness,  the  eyelids  seem  paralyzed,  the  pupil  of  the  eye 
is  dilated,  and  the  patient  does  not  see  distinctly,  but  as  if  he  were  looking 
through  a  fog.  or  he  sees  every  thing  double.  The  abdomen  at  the  same  time 
is  tight,  with  much  pain  and  constipation  ;  finally,  the  knees  and  feet  become 
stiff.  If  the  patient  does  not  die  in  a  few  day?,  a  tedious,  often  incurable 
disease  will  remain. 

Any  one  who  has  eaten  of  such  things,  and  after  some  hours  notices  these 
symptonis.  should  not  be  tardy  in  applying  the  proper  remedies.  If  within 
four  or  five  hours  after  the  meal  he  feels  disposed  to  vomit,  let  him  drink 

*  There  are  some  people,  even  doctors  of  medi  :ine.  who  are  affected  or  rather  af3ioted 
with  such  an  extreme  de^'ree  of  refinement  and  delicacy,  that  it  boreiers  on  silliness,  they 
think  it  against  all  rules  of  good  soeiety  to  bring  saliva  from  the  mouth  of  one  pers-in 
into  the  eye  of  another.  The  doctor  may  write  a  receipt,  send  it  to  an  apothecary's 
•bop,  and  wait  until  a  poor  imitation  of  saliva  ha3  been  made,  by  mixing  filtered  white 
of  eggs  and  y^j  part  of  the  sulpho-cyanate  of  soda, — it  would  t.ike  a  considerable 
Ume  before  this  preparation  could  be  made. 


CHAP.  VIII.  POISONING.  7a 

tepid  M'ater  to  briiif^  it  on.  If  there  is  no  disposition  to  vomit,  it  sliould  lie 
promoted  as  soon  us  possible  by  artificial  means.  Sometimes  tlie  buniiiig 
and  dryness  in  the  throat  are  supposed  to  arise  from  acidity  in  the  stomach, 
and  people  take  mafrnesia,  which  does  no  good  ;  or  they  imagine  it  to  be 
from  corrosive  poison  and  take  oil,  which  likewise  is  useless.  The  only 
tilings  that  can  do  good  arc  acids  or  oil  of  turpentine.  As  soon  as  the  sto- 
mach has  discharged  its  contents,  give  weak  diluted  vinegar;  let  the  patient 
wash  himself  with  it  and  gargle  with  it.  Lemon  juice  answers  still  better. 
When  the  patient  is  getting  tired  of  the  acid,  give  from  time  to  time  a  drop 
of  oil  of  turpentine  on  a  lump  of  sugar.  Occasionally  you  may  give  a  cup 
of  coffee  without  milk,  or,  what  is  still  better,  strong  black  tea.  If  the  dry- 
ness does  not  diminish  or  returns  again,  if  mucilaginous  injections  do  not 
produce  any  evacuation,  give  Brj/oina,  and  allow  it  six  hours  to  operate.  If 
a  temporary  improvement  takes  place,  give  Bii/oiiia  again,  as  often  as  it  gets 
worse.  None  but  mucilaginous  injections,  with  a  little  acid,  ought  to  be  ad- 
ministered. 

If  there  are  still  some  symptoms  left  after  the  use  of  Bri/onia;  they  may  be 
removed  by  Verdtmni,  or  J'hosp/iorit;  acid  \  should  the  paralysis  or  dryness 
remain,  give  Ai  ^euicinn.  A  case  has  lately  been  cured  by  giving  Arsenicum 
and  Fhcsph-  riis,  alternately,  every  day. 

8.    POISON    GENERATED    BV    DISEASI-;    OF    ANY    KIND. 

Disease  of  any  kind  in  man  or  beasf,  generates  poison  in  a  similar  manner 
tts  putrefaction  does  in  animal  substances.  These  poisons  differ  as  much  in 
their  nature  as  the  diseases  themselves;  some  produce  but  a  trifling,  others 
a  very  considerable  efiect ;  some  by  mere  evaporation,  but  most  of  tlieni 
when  they  enter  the  blood  or  the  stomach.  Every  one  shuns  what  a 
sick  person  ejects,  and  thus  a  natural  loathing  preserves  us  Iron'  these  baneful 
influences.  For  this  reason  careful  people  avoid  the  garments  of  those  who 
have  for  a  long  time  suffered  from  a  dangerous  disease.  But  against  diseased 
animals  we  are  not  generally  sufficiently  on  our  guard  ;  their  exhalation 
alone  proves  injurious  in  many  cases.  Thus,  that  from  a  horse  which  has 
glanders,  may  affect  a  human  being  with  a  disease  quite  different.  The  ex- 
crement of  sick  animals  is  still  worse  ;  their  saliva  and  the  pus  from  sores  are 
always  poisonous;  but  notwithstanding  the  decidedly  dangerous  conse- 
quences, leprous  or  measly  pigs  continue  to  be  killed  and  eaten. 

The  most  dangerous  disease  in  this  respect  is  the  inaH<iititiit  pustnh'  \n 
cattle.  If  the  blood  of  such  an  animal  only  falls  upon  the  hand,  it  may 
prove  infectious  ;  the  same  consequence  may  result  from  the  skinning  of  such 
animals — nay,  from  the  tanning  of  the  skins — and  yet  avarice  and  ignorance 
continue  to  persist  in  the  skinning  of  these  diseased  animals.  Their  flesh, 
though  salted  and  smoked,  is  a  poison,  and  always  produces  death  or  a  lin- 
gering, incurable  disease. 

The  malignant  pustule  disease  in  cattle  is  known  by  a  sudden  sadness  and 
dulni'ss  ;  they  stumble  and  tremble,  particularly  after  drinking  ;  they  have  a 
dry  hot  skin  and  short  breath  ;  during  these  symptoms,  inflammatory  tumors 
or  boils  are  formed.  Unless  such  cattle  can  be  saved  by  throwing  fre(iuently 
large  quantities  of  water  on  them,  and  giving  Ars'^nicum,  Ihay  must  die.  In 
case  the  latter  event  takes  place,  endeavor  at  least  to  preserve  other  animals 
that  may  have  been  exposed,  by  the  use  of  cold  water.  Those  which  perish 
should  be  buried  in  a  very  deep  pit,  without  being  touched  by  the  hands. 
Every  thing  which  has  been  in  contact  with  such  animals  should  be  burnt, 
buried,  or  purified  with  chloride  of  lime  in  water. 


72  THB   MOST   COMMON   CAUSES   OF   DISEASE. 

When  a  person  has  been  infected  with  the  malignant  pnstule,  he  feels  first 
melancholy,  weak  and  chilh- ;  red  spots,  black  in  the  centre,  show  themselves 
on  dilTerent  parts  of  the  body;  these  soon  become  bluish  tumors,  and  even- 
tually intlanunatory  gangrenous  nlcers.  By  no  means  put  a  poultice  on  them, 
nor  anything-  warm  and  moist;  bleeding  is  also  dangerous.  Tlie  best  remedy 
is  quiet,  a  strict  diet,  drinking  plentifully  of  cold  water,  and  frequently 
throwing  it  over  the  patient,  and  drying  him  quickly  afterwards.  Internally 
give  Aisenivniii,  frequently  repeated. 

AVhatever  has  been  soiled  by  horses  which  have  had  the  glanders,  should 
be  cleansed  with  chloride  of  lime;  exposing  it  for  a  long  lime  to  the  air  and 
the  sun.  also,  will  make  it  innoxious.  If  a  person  has  been  infected  by  a- 
glandered  horse,  give  FJws-2)/i<>ric  acid,  and  if  this  fails,  Ar.seninrrn.  Some 
time  after,  Siilii/nir  may  be  taken,  if  necessary;  and  if  some  symptoms  still 
remain,  after  three  or  four  weeks,  give  Calcarea.  Neither  of  these  two  reme- 
dies should  be  given  oftener  than  once  every  five  or  ten  days — and  should  not 
be  repeated  as  long  as  the  case  improves. 

When  one  has  reason  to  fear  that  he  has  contracted  one  of  these  diseases 
by  contact  with  the  animal,  exposure  to  great  heat  is  recommended.  The 
best  way  of  accomplishing  this  is  to  place  him  in  an  ordinary  vapor  bath,  or 
a  Russian  bath,  or  the  simple  hot  air  bath  used  so  frequently  in  hydropathic 
establishments.  Should  the  infection  be  imparted,  Luchesis  is  an  excellen*. 
remedy.  In  horses,  a  cure  may  often  be  ell'ected  by  the  administration  of 
Aconite,  Rhus  and  Arseniciiitt,  in  the  order  iu  which  they  are  named. 

II.    Poisoned  Wounds. 

STINGS    ANK    BITKS    OF    AXIMAI.S — -THEIR    ANTID0TK3    AND    TREATMENT. 

a)  Siiiiff.i  of  Spiilers. — The  sting  of  spiders,  centipedes,  scorpions,  the  bites 
of  many  flies,  musquitoes,  and  of  bugs,  are  rarely  dangerous,  but  may  become 
troublesome  by  their  numbers,  and  produce  serious  consequences  by  attack- 
ing tender  parts  ;  especially  when  little  children  or  very  delicate  persons  are 
thus  afflicted. 

The  chief  remedy  is  smelling  camphor,  and  washing  with  cold  water.  If 
you  can  catch  an  insect  of  the  same  kind,  crush  it  and  put  it  on  the  wound. 
A  good  remedy,  if  it  can  be  borne,  is  to  hold  the  injured  part  to  the  fire ;  or 
bring  a  red-hot  coal,  wire,  or  lighted  cigar  or  pipe  as  close  to  the  spot  as 
possible,  and  hold  it  there  until  the  pain  is  removed. 

b)  Stilly  H  of  Bees,  (^w — When  pursued  by  a  swarm  of  bees,  take  care  not 
to  strike  at  them  with  a  view  of  keeping  them  off,  for  it  does  no  good,  and 
only  irritates  them  the  more  ;  make  your  escape  as  quickly  as  possible;  but 
should  a  swarm  follow  you  notwithstanding,  particularly  in  the  bushrs.  and 
should  many  have  already  alighted  on  your  head,  and  there  be  no  water  near 
into  which  to  plunge,  lie  down  flat  upon  the  f^round,  with  the  face  downward, 
protecting  the  sides  of  the  head  with  your  hands,  and  lie  still  till  they  are 
gone. 

Moisten  the  wounds  with  saliva,  and  pass  your  finger-nail  over  them  to 
extract  the  sting  and  the  poison  ;  or  extract  it  with  tweezers  or  fine  pincers  ; 
then  put  on  black  garden  mould,  renewing  it  whenever  the  pain  increases  ; 
or  rub  it  with  honey,  scraped  chalk,  or  one  of  the  remedies- mentioned. 

For  the  sting  of  a  bee  in  the  eye  or  the  mouth,  honey  is  the  best  applica- 
tion ;  try  to  extract  the  sting  from  the  mouth  by  scratching  with  the  tingei 
nail ;  and  from  the  eye  by  using  very  delicate  pincers. 


CHAP.  VIII.  POJS..NING.  73 

The  same  observations  apply  to  the  stinging  of  wasps,  only  th^vt  in  this 
case  the  sting  does  not  remain  in  the  wound.  Always  warn  children  not  to 
bite  imprudently  in  an  apple  or  a  pear  in  which  is  a  hole  ;  sometimes  a  wasp 
is  hidden  in  it,  and  their  sting  in  the  mouth  is  very  dangerous. 

When  a  person  has  been  stung  in  a  very  tender  part,  and  inflammation, 
swelling  and  fever  ensue,  give  Apinn  ^;//7^<f  and  if  this  docs  not  operate  (juickly, 
Ariiicii.  If  the  eye  is  much  inflamed,  give  Acouile  and  AmUa  alternately, 
allowing  the  former  one,  and  the  latter  four  hours  to  take  effect,  extending 
those  periods  as  long  as  there  is  any  improvement ;  externally,  apply  only 
cold  water. 

In  the  very  worst  cases  when  the  patient  falls  down,  let  him  smell  sweet 
spirits  of  nitre,  ether  or  chloroform  ;  before  you  can  get  those  things,  try  to 
make  the  patient  breathe  fast  by  making  him  run  between  two  other  persons, 
or  if  that  cannot  be  done,  open  his  mouth,  draw  his  tongue  forward,  put  your 
fore  and  middle  finger  upon  his  tongue  as  far  back  as  you  can,  and  precis  it 
forwards  and  downwards.  If  the  patient  commences  to  breathe,  lessen  your 
pressure  by  degrees,  if  he  trys  to  vomit,  release  the  tongue  at  once. 

Miisqititoei  may  be  driven  away  by  the  smoke  of  brown  sugar,  strewed  upon 
live  coals  or  red-hot  iron  ;  after  some  time  let  the  smoke  pass  out,  and  close 
the  doors  and  windows.  The  bites  of  musquitoes  which  pain  severely,  are 
speedily  relieved  by  the  application  of  lemon  juice. 

Be  careful  not  to  check  the  inflammation  from  the  stings  or  bites  of  insects 
too  quickly,  when  they  are  numerous  ;  the  consequences  are  the  same  as 
when  an  eruption  of  the  skin  is  too  suddenly  checked  ;  rather  give  Acoiiit", 
and  some  hours  later  A'  men.     If  not  better  the  next  day,  Xa'jui/t  inui 

c)  Bites  of  S/iukes. — It  is  well  to  know  which  snakes  are  poisonous.  A 11 
poisonous  snakes  have  in  the  upper  jaw  two  long,  large  teeth  ;  all  those 
which  have  in  the  upper  and  lower  jaw  each  two  rows  of  teeth,  are  not 
poisonous.  The  bite  of  a  venomous  snake  is  generally  attended  with  violent 
shooting,  and  sometimes  burning-pain. 

When  the  serpent  is  not  venomous,  rub  some  salt  or  gunpowder  into  the 
wound.  But  if  it  is  venomous,  tiq  two  or  three  inches  above  the  wound  a 
ribbon,  cloth,  strap,  rope,  or  the  like,  tightly  around  the  limb,  to  prevent  the 
blood  returning  from  the  wound  to  the  heart,  and  leave  it  as  long  as  the 
patient  can  bear  it,  or  until  the  danger  is  past.  Every  endeavor  should  be 
made  to  extract  the  poison  ;  for  this  end.  the  best  means  is  the  application 
of  cupping-glasses  frequently  renewed  till  nothing  more  exudes  from  the 
wound.  A  cupping  glass  may  easily  be  extemporised  in  the  following  way  : 
take  a  small  glass  tumbler,  dip  a  piece  of  paper  or  cotton  into  brandy, 
whiskey,  or  other  spirits,  spirits  of  wine,  eau  de  cologne,  any  toilet  perfume 
will  answer  the  purpose;  set  fire  to  this,  throw  it  into  the  tumbler,  and 
immediately  apply  the  mouth  of  the  tumbler  over  the  wound,  taking  care  to 
press  it  close  upon  the  skin  so  as  to  allow  no  air  to  enter.  If  the  materials 
are  not  at  hand,  or  the  wound  is  so  situated  as  to  prevent  the  employment 
of  cupping  glasses,  the  wound  should  be  sucked.  This  can  be  done  without 
danger,  provided  the  person  who  sucks  has  no  sore  on  his  lips  or  mouth. 
The  sucking  must  be  stronir  and  continuous,  and  the  wound  must  be  well 
drawn  open.  Whilst  sucking  press  your  hand  firmly  towards  the  wound 
over  the  adjoining  parts,  particularly  from  the  side  next  to  the  heart.  After 
everything  has  thus  been  drawn  from  the  wound,  the  best  external  remedy 
is  heat.  Whatever  can  be  had  soonest,  red  hot  iron  or  coals — if  nothing 
better,  a  lighted  cigar — must  be  brought  as  near  to  the  wound  as  possible, 
without  causing  violent  pains,  and  without  burning  the  skin.  Cauterizing, 
or  bt  ruing  with  a  hot  iron,  is  useless,  because  it  destroys  the  smaller  vessels. 


74  THE   MOST   COMMON   CAUSES   OF   DISEASE. 

Apply,  therefore,  the  hot  iron  or  coals  a?  close  to  the  wound  as  the  patient 
can  boar  it.  As  soon  as  the  iron  or  coal  cools,  have  another  ready.  Place 
several  pieces  of  iron  at  once  in  the  tire,  and  change  them  frequently  ;  and 
take  care  that  there  is  a  sufficient  supply  of  red  hot  coals.  The  heat  should 
only  o[ierate  upon  the  wound,  and  on  the  parts  immodialely  around  it.  and 
not  on  too  larae  a  space.  Do  not  blow  the  coals  which  you  apply,  this  would 
cool  the  skin  too  much.  If  you  have  oil  or  fat  at  hand,  smear  it  arouml  the 
wound  for  three  or  four  inches,  and  when  absorbed,  renew  it.  If  you  have 
no  oil  or  fat,  take  soap  or  saliva.  Whatever  oozes  forth  from  the  wound 
must  be  carefully  wiped  away.  Continue  to  apply  heat  until  the  patient 
bejrins  to  shudder  and  to  stretch  :  if  this  should  occur  soon,  continue  the 
application  for  an  hour  if  he  can  bear  it,  or  until  the  symptoms  of  the  poison 
give  way.  If  these  symptoms  return,  renew  the  application.  After  the 
wound  has  been  thus  treated,  rub  into  it  salt  and  gunpowder,  cigar  ashes  or 
wood  ashes,  whatever  is  at  hand,  but  tine  salt  is  best.  At  the  same  time  the 
patient  must  be  kept  as  quiet  as  possible,  the  less  motion  or  agitation  he  is 
subjected  to  the  better. 

Give  inwardly,  as  soon  as  possible,  salt  water,  salt,  gunpowder  or  garlic. 
If  bad  symptoms  appear,  notwithstanding,  give  wine  or  brandy,  a  few  drops 
or  half  a  teaspoonful  at  once,  every  two  or  three  seconds,  until  they  disap- 
pear again,  but  resume  the  treatment  as  soon  as  they  re-appear.  If  the 
shooting  pains  grow  worse — if  they  are  in  the  direction  of  the  heart — if  the 
spot  turns  blue  or  spotted,  or  swells — if  vomiting,  giddiness  or  fainting 
ensues,  give  immediately  Ars^nicmn.  If  the  symptoms  become  worse  not- 
withstanding, repeat  the  same  half  an  hour  after;  if  there  is  improvement, 
do  not  repeat  it  until  worse  again.  If  two  or  three  doses  produce  no  effect, 
give  Bellarlonna.  Senega-root,  also,  is  at  times  serviceable.  I'lmxphnric  arid 
will  sometimes  remove  the  remaining  symptoms,  and  sometimes  Merciirin.f 
or  Hi  par. 

d)  Bites  of  mad  dogs. — The  bite  of  a  mad  dog,  or  of  other  rabid  animals, 
sliDuld  be  in  the  beginning  treated  in  the  same  way  as  the  bite  of  serpents. 
Burning,  cauterizing,  cutting,  lacerating,  suppurating,  and  all  similar  cruel- 
ties, are  positively  useless  ;  the  more  you  lacerate  the  wound,  the  more 
rapidly  will  the  poison  enter  into  and  circulate  with  the  blood.  The  cupping 
glass  should  be  at  once  applied,  and  the  application  of  radiating  heat  should 
be  repeated  every  day  three  or  four  times,  an  hour  each  time,  or  until  shud- 
dering appears.  Let  the  wound  heal  quietly,  after  the  above  means  have 
been  resorted  to,  and  only  make  use  of  the  precautions  indicated  below. 

Heat  should  be  occasionally  api^lied  to  the  wound  in  the  "manner  just 
described,  until  the  scar  becomes  of  the  natural  color  of  the  skin.  It  should 
be  renewed  whenever  the  wound  appears  hard,  dark-colored,  red  or  inflamed. 

Sometimes  after  seven  days,  or  later,  particularly  when  the  patient  has  a 
slight  fever,  a  small  blister  will  appear  under  the  tongue  ;  have  this  lanced 
with  a  pair  of  finely  pointed  scissors,  or  a  penknife,  and  let  the  patient  rinse 
his  mouth  with  salt  water. 

The  vapor  bath  has  proved  a  very  efficient  remedy.  If  there  is  an  oppor- 
tunity of  using  it  several  times,  soon  after-  the  bite,  it  will,  no  doubt,  be  of 
benefit  to  the  patient  ;  at  any  rate,  apply  it  as  soon  as  any  suspicious  symp- 
toms make  their  appearance.  These  symptoms  are:  sudden  and  unusual 
thirst,  followed  by  shuddering  and  loathing  when  drinking;  an  aversion  to 
anything  bright,  and  to  the  wind  ;  great  sadness  and  dejection. 

The  bath  may  be  of  service,  although  convulsions  should  have  commenced. 
'J'o  administer  the  vapor  bath,  the  patient  should  be  in  a  place  large  enough 
to  have  sufficient  air  to  breathe,  and  yet  so  small  as  to  be  easily  filled  witb 


CHAP.  VIII.  POISONING.  75 

hot  vapor.  If  the  patient  is  already  suffering  from  convulsioiis,  he  shoulcl 
be  wrapped  in  a  sheet,  to  confine  his  hands  and  feet,  but  the  neek  and  head 
ought  to  be  perfectly  free.  A  small,  wainscoted  room,  which  can  be  tightly 
closed,  is  best.  Into  this  room  carry  red-hot  stones  or  bricks,  as  many  as 
necessary;  throw  water  upon  them,  or,  if  the  patient  cannot  bear  this,  wet 
sand.  As  the  stones  cool  they  must  be  removed,  and  reheated  by  a  strong 
fire.  Place  a  tray  with  wet  sand  near  the  door,  in  which  saw  a  hole  to  pass 
the  stones  through,  or  place  them  on  a  bench  or  table  near  the  window.  It 
is  well  to  have  some  one  in  the  room  with  the  patient. 

All  these  directions,  however,  become  useless,  unless  a  good  fire  is  kept  up, 
and  there  is  a  sufficient  number  of  persons  to  change  the  stones  and  heat 
them,  for  the  whole  room  must  be  closely  filled  -with  hot  vapor  for  a  sufficient 
length  of  time.  If  the  bath  is  used  as  a  preventive,  one  to  two  hours  are 
requisite  ;  if  used  after  the  convulsions  have  commenced,  until  they  cease. 

A  Russian  bath,  if  that  can  be  obtained,  is  the  best  of  all  vapor  baths  for 
the  purpose,  the  above  is  merely  an  extemporaneous  imitation  of  it.  A  sim- 
pler method  still  of  administering  a  vapor  bath,  is  to  make  the  patient  sit  on 
a  cane-bottomed  chair,  cover  him  well  up  with  two  or  three  thick  blankets, 
and  introduce  beneath  the  chair  on  which  he  sits  a  tub  of  hot  water,  into 
which  you  are  to  drop  occasionally  a  red-hot  brick  ;  or  a  more  elegant  and 
convenient  method  of  generating  the  heat  and  vapor,  is  to  introduce  beneath 
the  chair  a  large  spirit  lamp,  the  flame  of  wliich  plays  on  a  saucerful  of  boiling 
water  placed  above  it.  Such  an  apparatus  may  readily  be  extemporized,  but 
it  is  also  to  be  had  in  many  of  the  ironmongers'  and  tinsmiths'  shops. 

To  prevent  convulsions,  give  Uydiopliohium  once  a  week, until  it  produces 
fever,  diarrhoea,  &c. 

Tincture  of  Cantharides  may  also  be  mentioned  as  a  preventive.  Mix 
one  drop  of  this  in  a  teacupful  of  water,  and  give  one  teaspoonfnl  of  the 
dilution  every  day  until  the  effects  of  the  medicine  become  troublesome. 

If  the  patient  labors  already  under  hydrophobia,  give  Lach'sis  at  every 
return  of  the  convulsions.  Should  the  next  fit  be  stronger,  wait  for  two  or 
three  more ;  if  they  are  less  intense,  give  nothing  further.  As  soon  as  they 
become  more  violent,  give  the  same  medicine  again.  If  they  do  not  vary, 
repeat  the  same  medicine,  after  three  hours.  When  Lachesis  appears  no 
longer  efficacious,  give  Belladonna  or  Hi/nnryamus. 

The  endless  variety  of  medicines  for  hydrophobia,  to  which  every  country 
and  every  year  make  new  contributions,  do  not  deserve  much  consideration, 
as  not  a  single  mad  dog  has  ever  been  cured  by  them.  They  are  mostly 
recommended  from  having,  as  was  supposed,  prevented  the  disease  ;  but  aa 
only  about  one  person  in  twenty,  of  those  who  have  really  been  bitten  bj 
rabid  animals,  are  attacked  by  hydrophobia,  whether  medicines  have  been 
used  or  not,  this  pretended  prevention  proves  nothing.  Many  persons  are 
attacked  by  hydrophobia  through  the  imagination,  and  for  such  cases  any 
remedy  will  answer.  We  ought  not  to  place  too  much  confidence  in  the 
methods  of  cure  so  often  recommended  ;  and  to  subject  every  one  bitten  to 
the  tortures  of  cauterizing,  cutting  and  bleeding  to  excess,  is  absurd.  In 
most  cases  nothing  is  required ;  and  in  the  few  cases  where  the  poison  takes 
effect,  such  violent  means  are  of  no  use  whatever. 

When  putrid  animal  substances  have  got  into  a  wound,  or  pus — matter 
from  ulcers  of  men  or  animals — give  Arsenicum. 

If  blood,  pus  or  saliva  of  an  animal  affected  with  the  malignant  pustule, 
glanders,  &c.,  use  Arsenicum  and  heat,  as  stated  above. 

For  the  bites  of  any  angry  animal ;  if  pus  or  other  diseased  matter  got 


76 


THE   MOST   COMMON   CAUSES   OF   DISEASE. 


into  a  wound  ;  if  you  had  been  obliged  to  toucli  persons  or  animals  laboring 
under  a  contagious,  dangerous  disease,  it  is  best  to  expose  your  hands  for  tive 
to  ten  minutes  to  as  great  a  heat  as  you  can  bear,  and  to  take  Arscnirinn. 

We  have  tliought  it  advisable  to  prepare  a  brief  summary  of  the  foregoing 
remarks  in  a  tabular  form,  by  referring  to  which  any  one  can  easily  find  the 
proper  antidotes,  in  the  most  dangerous  cases  of  poisoning,  where  it  is  neces- 
sary to  do  something  immediately. 

TABLE  OP  ANTIDOTES  TO  THE  MOST  POWERFUL  POISONS. 


POISONS. 

I.  GASES. 

Gas  produced  in  places  deprived  of 

fresh  air,  such  as  privies,  wells,  &c.. 

Vapor  of  Charcoal,   

II.  ACiDS. 

Prussic  acid, 

Sulphuric,  muriatic,  nitric,  phospho- 
ric, acetic  acid,  and  strong  wine 
vinegar, 


III.  ALKALINE  POISONS. 

Pot  and  pearl  ashes,  caustic  potash, 
carbonate  of  potash, 

IV.  METALLIC  SUBSTANCES. 
Arsenic 

Corrosive    sublimate,   copper,   verdi- 
gris  

Lead, 

Lunar  caustic, 

Tin, 

V.  VEGETABLE  POISONS. 

Opium  or  laudanum,  stramonium, . . . 

Bitter    almonds,   peach    kernels    or 

poach  leaves 


ANTIDOTES. 


Chloride  of  lime;  vinegar. 
Vinegar  and  vapor  of  vinegar, 


Cold  affusion  on  the  spine;  spirits  of 
hartshorn. 


Tepid  soap-suds  ;  magnesia ;  chalk, 
powdered  and  mixed  with  water; 
wood  ashes  mixed  with  water,  pot- 
ash or  soda. 


Vinegar ;  lemon  juice,  and  other  acids  ; 
sour  milk  ;  mucilaginous  drinks  and 
injections. 

"White  of  eggs  with  water ;  a  soapy 
fluid  made  with  equal  parts  of  lime, 
water  and  oil ;  linseed  tea ;  sugar- 
water  ;  milk  ;  rust  of  iron. 

White  of  eggs  in  water ;  sugar- water ; 

milk ;  starch  from  wliciit  Hour. 
Epsom  salts  ;  Glauber's  salts. 
Common  salt  dissolved  in  water. 
Sugar,  white  of  eggs  and  milk. 


Coffee ;  vinegar. 

Spirits  of  hartshorn ;  coflee. 


CHAP.  IX.  EXTERNAL   INJURIES.  77 

CHAPTEE   IX. 

EXTERNAL     INJURIES. 

Concussion,  Bruises,  Sprains,  Dislocations, 
Fractures,  &c. 

Concussion  of  the  brain  may  be  prorlnced  by  a  blow  upon  the  head,  a  fall, 
and  sometimes  by  a  violent  shock  to  the  body.  In  cases  of  violence,  not 
very  severe,  there  will  be  some  disorder  of  the  intellectual  functions,  pro- 
ducing vertigo,  dimness  of  vision,  trembling  of  the  limbs,  sickness,  &c. 

The  symptoms  are  different  in  more  severe  cases.  The  accident  is  imme- 
diately  followed  by  insensibility,  relaxation  of  the  extremities,  coldness  of  the 
skin,  feebleness  and  irregularity  of  pulse,  difficulty  of  breathing  and  dilation  of 
the  pupils. 

The  breathing,  however,  though  weak  and  laborious,  is  usually  free  from 
stertor  (snoring.) 

After  a  time,  the  patient  begins  to  recover  from  this  condition,  and  there 
is  a  gradual  return  of  the  warmth  of  the  body,  the  breathing  becomes  more 
natural,  the  pulse  rises,  and  the  sensibility  is  partially  restored,  so  that  he 
may  be  roused  from  the  apparent  sleep  or  lethargy  in  which  he  is  generally 
found,  and  made  to  answer  questions,  especially  those  relating  to  his  injury. 

As  the  stupor  and  other  symptoms  gradually  wear  away,  inflammation  of 
the  brain,  of  an  active  character,  frequently  begins  to  develop  itself,  which, 
if  not  speediy  checked  by  appropriate  treatment  may  terminate  fatally  in 
effusion  or  suppuration. 

A  severe  fall  or  blow  upon  the  head  may  have  cracked  the  bones  of  the 
scull  internally,  in  order  to  ascertain  whether  this  has  been  the  case,  proceed 
as  follows  :  Tie  one  end  of  a  cord  to  a  silver  spoon  or  fork  or  a  piece  of  iron, 
that  will  give  a  clear  sound  when  struck,  let  the  patient  take  the  other  end  of 
the  cord  between  his  teeth,  or  fasten  it  to  one  of  his  teeth,  or  wrap  it  around 
your  finger  or  a  piece  of  wood  which  is  to  be  inserted  into  the  ear  of  the 
patient;  now  strike  the  spoon  or  iron,  which  must  swing  clear,  the  sound  will 
be  communicated  to  the  bones  and  great  pain  will  be  felt  if,  and  where,  the 
bone  is  cracked. 

For  concussion  of  the  brain,  as  well  as  in  all  other  cases  of  injury  from 
external  violence,  Arnica  is  the  principal  remedy. 

A  few  teaspoonfnls  of  cold  water,  immediately  after  the  injury,  will  often 
be  of  great  service  in  reviving  the  patient,  and  should  always  be  resorted  to, 
as  it  can  do  no  harm.  The  application  to  the  head  of  cloths  dipped  in  cold 
water,  and  to  which  in  case  of  external  injury  a  few  drops  of  Tincfiire  of 
Arnica  may  be  added,  will  also  be  of  great  benefit ;  keeping  the  head  in  an 
elevated  position  during  the  treatment  will  also  be  serviceable  in  assisting  to 
prevent  and  remove  inflammation.  If  the  injury  has  been  severe,  the  patient 
should  be  kept  quiet — and  avoid  all  kinds  of  excitement  until  perfectly  re- 
covered. 

The  diet  should  be  of  the  most  simple  kind  ;  and  no  wine,  brandy,  coffee, 
spices,  or  stimulants  of  any  kind  made  use  of.  Bleeding,  which  is  a  common 
practice  with  the  more  ignorant  of  the  old  school  practitioners,  should  not  be 

ft* 


78  THE   MOST   COMMON   CAUSES   OF   DISEASE. 

resorted  to.  as  in  many  cases  death  has  ensued  from  large  bleedings,  intended 
to  obviate  inflammation  of  the  brain. 

If  active  inJlaiiiiiKdion  of  the  hruin  should  set  in,  notwithstanding  the  use 
of  the  means  recommended  above,  it  may  be  necessary  to  administer  Aconile, 
Bdhiiloiia,  and  other  remedies  recommended  under  that  head,  which  see. 

Concussion  of  other  parts  of  the  body  may  occasion  a  variety  of  unpleasant 
effects,  .'"ometimes  internal  parts  are  distended  or  torn  ;  pain  arises,  which 
increases  the  following  day ;  violent  headache,  giddiness,  pains  in  the  chest, 
asthma,  hacking  cough,  spitting  of  blood,  pain  in  the  back,  descending  pains 
in  the  belly,  &c.  In  all  such  cases  Anilcd  is  the  chief  remedy.  The  patient 
should  be  as  quiet  as  possible  ;  drink  plenty  of  water ;  wash  the  painful  parts 
frecpiently  with  cold  water,  or  with  water  containing  a  few  drops  of  Arnica 
tincture;  neither  eat  nor  drink  anything  stimulating ;  make  use  of  no  wine, 
brandy,  coffe.  tea,  or  spices,  of  but  little  salt,  and  of  nothing  sour. 

If  the  accident  was  attended  with  sudden  fright,  give,  first,  Opivm,  and 
some  hours  after,  ^4r«!'ca,  If  the  patient  faints,  wash  his  head,  face  and  arms 
with  cold  water,  and  give,  if  it  can  be  done  immediately  after  the  accident,  a 
few  drops  of  wine,  but  if  fifteen  or  twenty  minutes  have  elapsed.  Aconite  or 
Glanoine  and  afterwards,  if  necessary.  Arnica.  Bleeding  is  always  unneces- 
sary, and  sometimes  injurious;  Aconite  will  generally  keep  down  the  inflam- 
mation, and  Ar  n'ca  will  accelerate  the  healing. 

When  pregnant  females,  in  consequence  of  a  fall,  slip,  or  other  violent 
concussion,  feel  pains  in  the  abdomen,  a  thing  which  occurs  very  frequently 
in  the  first  month  of  pregnancy,  which  may  easily  bring  on  a  miscarriage,  give 
Arnica,  and  let  the  patient  keep  quiet,  if  possible  in  a  horizontal  posture,  and 
avoid,  for  several  days,  every  exertion.  Should  the  pains,  notwithstanding, 
become  very  violent  some  hours  after  Arnica  has  been  given,  give  Cliamo^ 
tnilia  or  one  of  the  other  medicines  recommended  under  "miscarriage." 

In  headache  from  concussion,  if  Arnica  is  insufficient,  give  Glonoine, 
Belladonna  or  FItosphoric  acid,  whatever  may  suit  best  according  to  the 
symptoms  enumerated  under  "  Headache." 

Aliections  of  the  chest,  caused  by  violent  concussion,  are  removed  hj  Arnica. 
Sometimes,  but  not  very  frequently,  Aconite  or  li/nm  is  requited.  Look  under 
"  Chest,"  Part  II 

OvERMFTtxo. — If  lifting  or  carrying  heavy  loads,  or  any  sudden  exertion 
of  strength  produces  pain,  give  Jt'/ni.s.  which  may,  in  fact,  always  be  given, 
if  the  injury  was  more  the  result  of  lifting  than  of  external  violence. 

When,  frouj  this  cause  very  acute  pains  are  felt  in  the  small  of  the  back, 
which  become  worse  on  every  motion  of  the  body,  give  Bryonia.  If  this  does 
not  relieve  entirely,  Sutphvr. 

If  headache  ensues,  and  RItiis  will  not  remove  it,  try  Calcarea  once. 

If  a  person,  by  lifting  or  over-exertion,  has  strained  or  otherwise  injured 
himself,  in  consequence  of  which  he  has  nausea  or  a  disposition  to  vomit,  with 
violent  pains  in  the  bowels,  give  Veratrum. 

If  one  has  injured  himself  by  violent  extension  and  then  pressure  of  the 
abdomen,  as  in  climbing  over  a  high  fence,  wrestling,  <tc.,  and  afterwards 
feels  suddenly  sick  at  the  stomach,  violent  pains  in  a  small  spot  mternally  in 
the  abdomen,  or  has  there  a  sensation  as  if  everything  was  pulling  downwards, 
which  makes  him  anxious  and  restless  with  a  face  full  of  agony,  Veratnnn, 
once  or  twice  will  give  relief. 

False  Steps  someMmes  cause  pains  in  the  limbs,  sickness,  &c.     They  will 


CHAP.  IX.  EXTERNAL   INJURIES.  /  9 

generally  be  relieved  by  Bryonia  or  Rhus,  or,  if  the  storaacli  is  much  affected, 
by  Fa:. sat  I/a. 

If  the  injury  occurs  often,  and  is  caused  by  debility,  it  will  be  cured  by 
Fhu.splwras,  which  should  be  given  whenever  it  returns. 

Bruises  (Contused  Wounds),  are  generally  caused  by  a  blunt  instrument, 
or  some  haid  substances  coming  in  violent  contact  with  a  part  of  the  body. 
There  is  usually  swelling  which  will  be  proportionate  to' the  extent  of  the 
injury  ;  and  more  or  less  discoloration  of  the  skin,  owing  to  the  rupture  of 
sonie'of  the  smaller  blood  vessels  and  the  consequent  effusion  into  the  cel- 
lular tissue.  The  pain  is  not  generally  very  great.  When  the  injury  has 
been  extensive,  it  maybe  followed  by  sloughing  and  mortification. 

In  the  treatment  of  bruises,  nothing  is  more  efficacious  than  the  application 
to  the  injured  parts  of  cloths  (linen  is  to  be  preferred),  dipped  in  cold  water, 
and  the  internal  administration  of  Arnica, 

This  will,  in  most  cases,  soon  remove  all  traces  of  the  injury. 

In  very  severe  cases,  followed  by  fever,  it-will  be  necessary  to  give  Aconife, 
which  may  be  alternated  with  Arnica  at  intervals  of  from  three  to  six  or  eight 
hours. 

A  lotion  of  Arnica  tincture  in  the  proportion  of  half  a  teaspoouful  to  a 
tumbler  of  water  may  also  be  used. 

If  a  limb  is  crushed,  and  flattened  or  otherwise  disfigured,  it  should  be 
pressed  by  the  hand  from  time  to  time  until  it  returns  to  its  proper  form ; 
or  it  may,  if  necessary,  be  straightened  and  kept  in  its  natural  position  by 
means  of  a  piece  of  paste-board  or  thick  gutta  percha.  heated  so  as  to  render 
it  flexible,  and  capable  of  being  adapted  to  the  shape  of  the  limb  ;  a  roller 
must  be  placed  over  all  to  keep  it  in  place. 

iShould  suppuration  (formation  of  matter)  ensue,  from  neglect,  bad  manag©' 
ment,  or  impurity  of  the  blood,  ILpar  must  be  given. 

For  erysipelatous  inflammation,  which  sometimes  makes  its  appearance, 
and  may  be  known  by  the  wound  assuming  a  red  appearance,  which 
soon  extends  to  the  surrounding  integuments,  and  the  affected  parts  be- 
come hot  and  burning,  and  are  painful  to  tiie  touch  ;  give  Hutd  internally, 
and  apply  a  solution  uf  the  tincture  in  water,  externally. 

But  should  the  incipient  signs  of  mortification  present  themselves,  as  in- 
creased swelling  and  pain,  the  pain  of  a  pungent  burning  kind,  loss  of  sensi- 
bility, heat  and  colur,  and  the  wound  biggins  to  cliange  to  a  darker  hue,  China, 
and  if  the  skin  assumes  a  dark,  livid  color,  recourse  must  be  had  to  Arseni- 
cum and  Laciiesis,  which  should  be  given  alternately,  at  short  intervals,  and 
may  prevent  the  loss  of  life  and  limb.  Amputation  should  be  postponed  as  long 
as  possible  ;  many  a  limb  has  been  saved  by  the  reluctance  of  the  patient  to  have 
the  operation  performed. 

Bruises  of  tue  eyes  from  blows  with  the  fist,  a  stick,  a  stone,  a  flying  cork, 
&c.,  are  to  be  treated  in  the  manner  indicated  above  ;  change  the  piece  of 
linen,  as  soon  as  it  becomes  wu.rm,  for  a  cold  one,  and  fasten  a  shade  over  the 
eyes,  for  the  purpose  of  keeping  the  light  from  them.  Whenever  the  pain 
becomes  more  severe,  give  Arnica  and  Aconite  alternately. 

Shocks  and  Bruises  of  the  Head,  when  children  fall  and  their  heads  re- 
ceive a  considerable  shock,  and  they  begin  to  vomit,  cry  but  little  or  not  loud, 
and  sleep  uncommonly  sound  and  long,  give  Arnica.  Do  not  let  them  sleep 
too  long,  but  rouse  them  up  and  keep  them  awake  a  while.  Try  also  and  pre- 
vent their  takhig  cold  or  being  over-heated,  and  don't  let  them  eat  or  drink 
aavthinu;  stimulating. 


80  THE   MOST   COMMON   CAUSES   OF   DISEASE. 

If  fever  or  convulsions  appear  give  BeUadnnna  ;  and  if  not  relieved  by  this 
and  there  should  be  in  addition  a  constant  picking  at  the  nose  with  the  finpcr, 
Chi.ia  should  be  given. 

li'lladoiina  will  also  be  indicated  by  the  following  symptoms:  constant 
tossing  of  the  head  from  side  to  side  ;  disposition  to  press  the  back  of  the 
h<>ari  on  the  pillow;  giddiness  or  pain  after  shaking  the  head  ;  dilatation  of 
tiie  pupils  of  the  eyes,  not  only  in  the  dark  or  after  awaking  from  sleep,  which 
is  natural,  but  at  all  times. 

Ilrp  ir  may  follow  the  Rdladonna  if  the  latter  has  failed  to  afford  sufficient 
relief  and  allowed  to  act  for  several  days. 

If  some  of  the  above  mentioned  symptoms  should  remain  notwithstanding  ; 
If  the  head  becomes  larger,  if  the  skin  is  elevated  on  the  upper  and  anterior 
part  of  the  head,  "opening  of  the  head,"  and  there  is  a  perceptible  beating 
there,  give  Calcarea. 

Bruises  on  the  head  of  children  should  not  be  compressed  with  a  knife  ; 
but  treated  with  applications  of  cold  water,  or  water  with  a  few  drops  of 
Aruicn  Undine  in  it,  and  the  internal  administration  o^  Aruia. 

Consult  also  Concussion  and  Hydrocephalus  in  their  respective  chapters. 
In  all  cases  of  this  kind  however,  it  is  better  to  consult  a  homoeopathic  phy- 
sician. 

Sprains. — A  limb  is  sprained  when,  after  a  fall  or  other  violence,  it  pains 
severely,  cannot  be  moved  without  pain,  swells  and  turns  red. 

At  the  commencement  of  the  treatment  of  these  troublesome  injuries  apply 
cold  water  freely  or  a  lotion  of  Arnica. 

Arnica  may  also  be  taken  internally.  After  the  removal  of  the  more  acute 
symptoms,  it  may  be  mjcessary  to  resort  to  the  use  of  Bri/oni'j,  Rknaov  Riifa, 
to  aid  in  removing  the  stiffness  and  soreness  which  may  remain.  Passive 
(gentle)  motion  of  the  limb  will  also  be  beneficial. 

If  it  turns  blue  :  Arnica. 

If  the  swelling  remains  very  long  with  more  or  less  pain,  use  applications 
of  warm  vinegar.  If  the  swelling  about  the  joint  is  so  soft,  as  to  leave  a  pit 
when  pressed  by  the  finger,  Sainbucu.'i  will  give  relief. 

Disi.ocATioxs,  Luxations. — The  removal  of  the  head  of  a  bone  from  its 
corresponding  articular  cavity  is  termed  a  dislocation  or  luxation. 

It  is  characterized  by  viohnit  pain,  loss  of  motion,  swelling,  alteration  in 
lUe  shape,  length  and  direction  of  the  limb.  An  unnatural  depression  or  pro- 
minence can  generally  be  felt  in  the  vicinity  of  the  injured  joint ;  and  thi-re 
will  be  also  a  peculiar  rigidity  of  the  limb.  By  comparing  the  injured  with 
the  sound  limb  the  deformity  will  at  once  be  apparent. 

The  first  thing  to  be  done  is  give  Amici,  or,  if  there  is  already  redness  and 
inflammation,  Aconitum,  and  to  apply  cold  water  or  diluted  Tincture  of 
A  rn  icu . 

Yon  seldom  find  a  person  who  will  undertake  to  set  the  joint  again  ;  and 
as  abortive  attempts  will  only  make  the  matter  worse,  the  sooner  j'ou  send 
for  an  experienced  surgeon,  the  better  for  the  patient.  Cold  applications, 
and  Arnini  internally,  will  always  be  beneficial.  Nor  is  it  necessary  to  do 
anything  more  after  the  dislocation  has  been  reduced  :  all  poultices,  s.alves, 
bleeding,  &c.,  are  injuiious.  .V  proper  bandage  must  be  applied,  and  as  soon 
as  the  inflammation  abates,  wiiirh,  after  taking  Arnica  and  perhaps  Aconife, 
will  soon  take  place,  the  limi.  should  be  moved  often,  but  carefully,  lest  it 
grow  stiff. 


CHAP.  IX.  EXTERNAL    INJURIES.  81 

Fractures. — Tbe  most  certain  sifin  of  fracture  is  crepitation,  a  peculiar 
grating  noise  or  sensation,  produced  by  the  rubbing  together  of  two  broken 
surfaces  of  bone.  When  on  moving  an  injured  limb  you  can  perceive  this  sen- 
sation, it  is  a  pretty  sure  indication  that  it  is  fractured.  In  addition  to  this, 
there  is  usually  some  deformity,  pain,  swelling,  inability  to  move  or  use  the 
limb,  and  sometimes  it  is  shortened. 

In  all  cases  of  suspected  fracture,  send  for  a  surgeon,  and  for  a  skilful  one 
too,  and  not  for  "fhejir.'it  the  be.^t ;"  for  mistakes  committed  under  these  cir- 
cumstances can  hardly  ever  be  remedied.  When  children  are  the  sufferers, 
more  despatch  is  required.  But  in  ordinarycases.acoupl  'of  days  may  elapse 
without  incurring  any  risk,  a  broken  bone  does  not  unite  so  very  readily. 
Before  the  arrival  of  the  surgeon  the  broken  limb  should  be  moved  as  little 
as  possible  ;  on  the  painful  part  put  linen  bandages  dipped  frequently  into 
cold  water,  or  diluted  Arnica  tincture ;  internally  give  Aconite,  if  the  patient 
is  very  weak  or  faint,  and  some  hours  after.  Arnica.  Only  when  the  pains 
are  insufferable,  and  occasion  convulsions,  give  ChatnoinHla.  In  very  rare 
cases  only,  when  the  pains  are  excruciating,  and  other  bad  symptoms  appear, 
will  stretching  of  the  limb  afford  any  relief.  This  delicate  operation  requires 
a  surgeon's  aid,  who  will  apply  the  necessary  splints,  bandages,  &c. 

Should  the  bone  not  unite  readily,  but  remain  loose — as  sometime  happens 
with  aged  persons — mix  a  small  portion  of  diluted  Phosphoric  acid  with  lime- 
water,  dry  the  sediment  which  will  be  formed  in  this  mixture,  and  give  the 
patient  as  much  of  it  as  will  lie  on  the  end  of  a  penknife,  once  every  three  or 
'four  days.  If  the  bones  of  young  people  will  not  heal,  give  good,  strong 
broth,  or  meat-extract,  which  will  be  mentioned  hereafter,  under  "  Apparent 
death  from  hunger." 

Wounds.  , 

"We  ought  first  to  know  what  wounds  will  heal  of  themselves,  and  when 
treatment  is  necessary  ;  we  ought  to  know  how  the  cure  can  be  accelerated, 
and  what  must  be  done  in  dangerous  cases  until  a  surgeon  can  be  procured. 

All  wounds  which  are  not  mortal  heal  of  themselves,  without  any  medicine, 
uuguents,  plasters  or  salves.  External  applications  are  almost  always  inju- 
rious, and  all  rational  practitioners  have  long  ago  discontinued  the  use  of  them. 
Nothing  more  is  necessary  than  to  apply  a  proper  bandage,  and  to  wet  it, 
from  time  to  time  with  cold  water.  If  requisite  some  medicine  should  be 
given  internally,  and  attention  be  paid  to  the  diet. 

a)  Dreasinij  of  tlie  waiuvl. — the  most  important  thing  in  the  healing  of  a 
wound  is  to  bring  the  sides  in  close  contact.  Suuill,  sujjerficial  wounds  may 
be  closed  by  pressing  the  sides  together,  and  tying  a  bandage  around  the  limb 
to  keep  them  in  that  position.  Common,  small  cuts  on  the  fingers  are  often 
troublesome  for  a  considerable  time,  as  they  prevent  us  from  using  the  hand  ; 
but  they  will  heal  quickly  with  a  healthy  person,  if  sewed  together,  an  opera- 
tion, which,  after  a  little  practice,  can  be  performed  easily  and  without  giving 
pain.  Close  the  wound  immediately  to  prevent  the  escape  of  blood  ;  press 
till  the  skin  becomes  white,  that  you  may  see  the  cut  and  take  hold  of  it ; 
then  take  a  very  fine  needle,  with  a  linen,  or  better,  a  silk  thread,  which  has 
been  divided,  pierce  through  the  outer  or  scarf-skin  only,  either  entering  near 
to  or  at  the  cut;  if  it  pains,  you  have  gone  too  deep.  When  the  wound  is 
very  small,  and  not  deep,  you  may  stitch  from  one  side  to  the  other,  right 
through,  making  a  common  seam,  without  a  knot  at  the  beginning  or  end. 
When  the  cut  is  deeper,  or  forms  an  angle,  draw  only  once  through;  tie  the 
ends  together  over  the  wound  and  cut  them  off;   proceed  in  this   manner, 


82  THE   MOST    COMMON   CAUSES   OF   DISEASE. 

placing  one  loop  near  the  other.     It  is  better  to  take  but  a  short  thread,  for : 
if  you  have  to  pull  much,  the  skin  sometimes  breaks  and  gives  pain.     Somer 
times  it  may  be  better  to  take  two  needles,  fasten  in  each   one  end  of  th^ 
thread,  and  pass  each  needle  from  the  interior  edge  of  the  cuticle  outwards. 

Small  wounds  may  be  dressed  by  Aniica-idaster  or  common  Court-plaster. 

When  the  wounds  are  longer,  penetrating  through  the  skin  into  the  flp.sh, 
this  superficial  suture  will  not  suffice,  but  you  must  use  adhesive  plaster,  the 
ordinary  sticking  plaster  of  the  shops.  Cut  this  into  strips,  a  few  inches 
long,  narrower  in  the  middle  than  at  the  ends  Warm  them  with  your 
breath,  or  by  wrapping  them  around  a  bottle  filled  with  hot  water,  or  around 
your  arm,  the  side  on  which  the  plaster  is,  of  course  , turned  out,  till  the 
plaster  becomes  soft.  The  narrow  part  must  be  placed  on  the  wound.  In 
applying  them  press  the  wound  well  together,  and  draw  the  strips  tightly 
over'it;  they  should  be  long  enough  to  extend  several  inches  beyond  the 
wound  on  each  side,  otherwise  they  will  not  stick  well.  The  hairs  ought  also 
to  be  shaved  off  from  about  the  wound,  and  all  moisture  carefully  wiped  away. 
Open  spaces  ought  to  be  left  between  the  strips,  particularly  where  the 
wound  is  deepest,  that,  in  case  of  suppuration,  the  matter  may  be  allowed  to 
escape  and  prevent  the  formation  of  abscesses. 

In  dressing  the  wound  the  limb  should  be  put  in  such  a  position  that  the 
wound  will  not  gape,  and  should  be  kept  in  that  position  as  much  as  pos- 
sible. 

Deep  lacerated  wounds,  or  long  cuts  in  the  face,  lips,  eyelids,  neck,  «tc., 
have  sometimes  been  united  by  deeper  sutures,  which  a  surgeon  alone  can 
make  properly. 

Considerable  stabs,  or  other  narrow  and  deep  wounds,  must  not  be  closed 
in  this  manner,  as  they  would  heaJ  on  the  surface,  and  suppurate  at  the  bot- 
tom. But  if  they  are  so  situated  that  they  can  be  compressed  at  the  bottom, 
as  well  as  at  the  orifice,  it  may  be  done  until  the  surgeon  arrives,  who  in  all 
such  cases  should  be  consulted. 

Besides  being  sewed,  every  wound  ought  to  be  dressed  with  adhesive 
plaster,  that  it  may  be  the  more  firmly  united,  and  that  the  air  may  be  pre- 
vented from  entering  it,  at  the  same  time  the  limb  ought  not  to  be  more  com- 
pressed and  laced  tlian  is  necessary. 

The  bruising  of  the  skin,  especially  on  the  knuckles,  ends  of  the  fingers  and 
on  the  shinbone,  sometimes  causes  a  bad  sore,  and  often  becomes  trouble- 
some in  children  The  l)est  application  for  such  sores  is  the  lining  membrane 
of  a  raw  egii.  The  best  mode  of  obtaining  this  is  to  break  the  agg  carefully 
and  peel  off  the  skin  with  which  the  shell  is  lined,  in  strips  as  broad  as  you 
can  make  them  ;  put  these  with  the  side  which  was  uext  to  the  shell  on  the 
wound  until  it  is  entirely  covered. 

Another  good  application  is  collodium.  (a  solution  of  gun-cotton  in  ether.) 
it  is  sold  in  all  dr\ig  stores,  [t  is  to  be  spread  over  the  wound  with  a  soft 
brush,  the  ether  evaporates,  and  leaves  a  thin,  transparent  skin,  which  is  not 
removed  by  water. 

b)  IltiiLorrluige  axused  by  wounds. — Wounds  which  nave  been  closed  and 
dressed  in  the  aforesaid  manner,  generally  cease  to  bleed.  Sometimes,  how- 
ever, it  is  necessary  to  place  a  compress  of  linen  upon  the  wound,  and  to 
keep  it  there  with  bandages.  Cold  water  applied  immediately  and  freely, 
will  frequently  stop  the  bleeding,  yet  there  are  cases  where  it  does  not 
suffice. 

When  the  blood  is  gushing  out  of  the  wound,  when  the  wound  is  on  the 
throat,  the  superior  and  interior  part  of  the  thigh  or  arms,  the  whole  limb  or 
Bide  of  the  neck  should  be  compressed,  and  a  surgeon  procured  immediately. 


CHAP.  IX.  EXTERNAL   INJURIES.  83 

Tlie  hcmorrlia<i:e  is  still  more  dangerous  when  bright  red  blood  flows  from 
the  wound,  and  the  blood  squirts  at  intervals  as  the  pulse  beats.  Hasten, 
in  such  a  ease,  to  obtain  the  assistance  of  an  experienced  surgeon;  but  as 
every  delay  is  dangerous,  tie  a  cloth  tight  around  the  limb  above  the  wound, 
in  the  direction  of  the  heart;  above  this  bandage  on  the  interior  part  of  the 
limb  feel  for  the  artery,  which  you  will  know  by  its  beating;  place  on  this 
spot  a  cork  lengthways,  press  it  well  home,  put  oVer  it  a  compress  two  or 
three  inches  square,  and  as  thick  as  a  finger,  and  over  this  a  bandage,  which 
tighten  until  the  bleeding  stops.  Immediately  upon  compressing  the  artery, 
the  blood  sometimes  flows  more  freely  than  before,  but  it  will  soon  stop.  I'o 
not  omit  frequent  applications  of  cold  water  or  ice  to  the  wound. 

People  are  apt  to  have  recourse  to  very  improper  and  injurious  means  to 
stop  bleeding;  in  the  fright  they  tie  one  cloth  over  the  other,  until  they  ex- 
haust their  whole  stock  of  rags  and  handkerchiefs.  But  that  cannot  stop  the 
bleeding — it  merely  conceals  it.  When  the  first  firm  bandage  does  not  stop 
it,  the  rest  are  useless  and  pernicious,  as  they  prevent  the  cold  water  from 
penetrating,  and  conceal  the  danger. 

Some  persons  put  upon  wounds  which  bleed  profusely  a  mass  of  the  most 
heterogeneous  things  imaginable;  vinegar,  cobwebs,  balsam,  brandy,  punk, 
lead-water,  the  white  of  eggs  and  sweet  oil,  charcoal,  glue,  alum,  soot,  lemrn 
juice,  shoemaker's  wax,  gum  arable,  tar.  urine,  tan,  oakleaves.  salves,  unguents, 
and  other  trash,  to  stop  the  effusion  of  blood  ;  all  these  things  render  tl:e 
healing  of  the  wound  more  difficult,  as  they  soil  the  surface,  and  as  evoiv 
thing  extraneous  entering  into  a  wound  has  again  to  be  expelled  by  suppu- 
ration. 

When  a  proper  bandage,  the  application  of  cold  water  and  of  ice,  a  quiet 
and  easy  position  of  the  patient,  does  not  stop  the  bleeding,  hasten  for  a 
surgeon,  and  until  he  comes  proceed  as  follows  : 

Let  the  wounded  part  be  elevated,  and  see  that  there  is  no  more  pressure 
on  any  part  of  the  body  than  can  be  avoided.  Should  the  patient  fair.t, 
leave  him  at  rest,  and  do  not  annoy  him  with  smelling  bottles.  Fainting 
may  be  beneficial,  for  in  this  state  the  blood  flows  less  rapidly,  and  is  more 
apt  to  congeal  in  the  wound,  especially  when  aided  by  applications  of  cold 
M'ater.  If  the  patient  turns  quite  pale,  and  becomes  blue  in  the  face,  or  has 
jerking  of  the  limbs,  however,  there  is  danger,  and  China  should  be  given 
immediately.  After  this,  if  worse  again,  give  him  a  little  good  old  wine,  and 
after  that,  if  necessary,  repeat  the  China. 

The  same  remedies  ought  to  be  given  after  much  loss  of  blood,  but  when 
the  bleeding  has  ceased  the  patient  may  drink  small  quantities  of  cold  water 
as  often  as  he  asks  for  it. 

To  stop  the  bleeding,  when  the  first  bandage  and  the  application  of  wet 
rags  does  not  do  it,  g\v&  Arnica ;  if  this  fails.  Ipecacuaaha.  The  black  gluti- 
nous drops  which  hang  in  chimneys  where  wood  is  burnt,  will  answer,  if 
nothing  better  can  be  got.  Take  a  portion  of  this  as  large  as  a  pea,  dissolve 
it  in  a  tablespoonful  of  brandy,  until  the  latter  turns  brown — mix  this  with  half 
a  tumbler  of  water,  and  drop  it  into  the  wound.  If  Creosote  can  be  had,  it  is 
to  be  preferred  :  one  drop  of  it  in  a  teaspoonful  of  water  is  fully  strong  enough. 
Another  powerful  styptic  is  the  Maiico,  which  may  be  obtained  at  some 
apothecaries. 

The  bitefi  of  leeches  sometimes  bleed  too  much;  children  have  thus  bled  to 
death  in  the  night,  when  proper  attention  was  not  paid  to  them.  The  wisest 
plan  is  to  use  no  leeches  at  all ;  but  those  who  have  no  knowledge  of  better 
remedies,  must  be  expected  to  have  recourse  to  improper  ones.  These 
wounds  can  be  closed  by  putting  in  a  couple  of  stitches,  in  the  way  before 


84  THK    MOST   COMMON   CAUSES   OF   DISEASE. 

explainocl — they  give  no  pain  wliatever.  With  children  who  dread  this,  the 
bleeding  may  be  stopped  Ijy  pressing  thj  finger  upon  the  wound  for  a  con- 
siderable time,  and  applying  some  shoemaker's  wax.  Daring  the  night  par- 
ticular attention  should,  notwithstanding,  be  paid  lest  it  recommence.  Aftei 
a  vein  has  been  opened  the  same  precaution  is  necessary.  The  patient  ought 
to  rest  undisturbed,  and  some  one  should  be  in  attendance  to  see  that  the 
vein  does  not  bleed  again. 

c)  dcnnsiu'j  of  the  loomvL  -  However  well  a  wound  may  have  been  ban- 
daged, it  will  not  heal  if  it  has  not  been  properly  cleansed  ;  therefore,  before 
dressing  the  wound,  free  it  from  every  thing  extraneous.  If  the  wound  is  full 
of  dirt  or  sand,  or  if  there  are  splinters  in  it,  small  pieces  of  glass,  fishbones,, 
shot  or  rags,  or  if  the  iron  which  made  it  was  rusty,  it  will  not  heal  so  easily. 
All  foreign  substances  should,  if  possible,  be  removed  by  the  foreceps  and  by 
washing  well  with  water.  If  you  find  it  impossible  to  cleanse  the  wound 
thoroughly,  dress  it  but  lightlj-,  so  as  to  prevent  the  air  from  penetrating, 
without  pressing  it  much,  and  renew  the  dressing  frecpiently. — Wounds  of 
this  kind,  particularly  when  splinters  remain  in  them,  should  always  be 
dressed  by  a  surgeon. 

When  a  person  has  run  a  nail,  fish-bones,  splintei's  or  glass  into  his  foot, 
you  cannot  always  remove  them  entirely ;  surgeons  are  sometimes  ai)t  to  cut 
in  every  direction,  but  in  vain.  Into  such  a  wound  drop  at  once  a  little  vul- 
nerary balsam  ;  balm  of  Peru  is  best ;  but  if  you  have  none,  use  Canada  or 
any  other ;  put  over  this  a  compress  of  linen,  and  tie  it  to  the  sole  of  the 
foot.  Renew  the  application  of  the  balsam  every  day  until  the  wound  has 
healed  from  within.  At  the  same  time  the  wounded  person  should  walk 
occasionally,  even  though  painful  to  him  ;  the  motion  will  assist  in  cleansing 
the  wound.  If  there  is  much  inflammation,  apply  cold  water  externally,  and 
internally  the  remedies  prescribed  beiow. 

If  after  a  wound  in  the  sole  of  the  foot  has  healed,  violent  pain  is  expe- 
rienced when  walking,  we  may  infer  that  there  is  still  some  foreign  substance 
in  the  foot.  Fasten  to  the  sole  of  the  foot  a  cork  sole,  a  thick  piece  of 
pasteboard,  or  a  thin  board,  with  a  hole  cut  in  it  just  where  it  touches  the 
sore  part,  and  let  the  patient  walk  on  it  frequently  ;  at  the  same  time  give 
ISiiictii,  and  if  no  better,  after  a  week  H'-par,  and  after  waiting  seven  days 
Sl/icea  again.  The  extraneous  matter  will  generally  soon  be  brought  out. 
If  you  can  feel  any  thing  plainly  under  the  skin,  let  an  incision  be  made  to 
take  it  out,  or  let  the  skin  be  scraped  very  thin  with  a  sharp  knife. 

d)  Siih.-!eqiieiit  treatment  u)id  diet. — Besides  stopping  the  hemorrhage,  and 
cleansing  and  dressing  the  wound,  its  subsequent  treatment,  as  well  as  the 
diet  of  tlie  patient,  is  a  matter  of  importance.  When  the  wound  is  large,  the 
patient  should  keep  as  quiet  as  possible;  he  should  neither  exert  his  mind 
nor  his  body  too  much  ;  he  should  drink  plenty  of  cold  water,  and  avoid 
every  thing  stimulating — much  salt,  spices,  smoked  food,  &c. 

If  the  dressing  was  necessarily  put  on  very  tight,  loosen  it  somewhat  if  it 
becomes  troublesome,  the  next  day.  If  not  too  tight,  leave  it  undisturbed 
for  two  or  three  days,  if  the  wound  does  not  suppurate,  and  remove  it 
gradually. 

In  removing  a  piece  of  sticking  plaster,  always  begin  at  both  ends  and 
proceed  to  the  centre ;  begin  to  remove  the  strips,  at  one  end  of  the  v/ound, 
replace  the  strip  removed  immediately  by  another,  and  continue  in  that 
manner  till  finished,  in  order  that  it  may  not  open  again  or  be  dragged  asunder 
If  possible,  leave  the  dressing  until  the  wound  is  healed ;  in  summer,  how- 
ever, and  when  wounds  suppurate  freely,  the  dressing  should  be  changed 


CHAP    IX.  EXTERNAL   INJURIES,  85 

frequently.  The  threads  in  the  sutures  are  to  remain  until  they  drop  off  of 
themselves. 

Cold  water  is  not  only  serviceable  in  stopping  the  bleeding  and  cleansing  the 
wound,  but  also  in  healing  it  afterwards.  Put  on  a  compress  of  linen,  and  dip 
it  frequently  in  cold  water — particularly  when  there  is  swelling,  redness  and 
pain.  Or  take  lint,  dip  it  in  water,  and  cover  the  wound  with  it;  put  over 
this  some  oiled  silk  or  gutta-percha  tissue,  or  where  these  cannot  be  obtained, 
paper  which  has  been  saturated  with  warm  wax,  or  thick  oiled  paper  may  be 
used,  and  tie  a  handkerchief  over  it,  to  keep  the  adjacent  parts  dry.  As  the 
heat  abates  and  the  wound  heals,  renew  it  less  frequently,  and  when  the  heat 
is  gone,  discontinue  it  altogether. 

AH  wounds  which  suppurate  badly,  are  to  be  treated  as  ulcers — of  which 
more  hereafter.  Wounds  of  this  kind  maybe  treated  with  cold  water  dress- 
ings, but  occasionally  thi-y  require  applications  of  warm  water  and  poulticing. 

All  lacerated  wounds,  and  others  which  cannot  be  accurately  united, 
must  be  drawn  together  and  treated  with  cold  water,  unless  they  suppurate. 

To  all  wounds  over  a  bone,  on  the  head,  the  breast-bone,  the  elbow,  finger- 
joints  or  the  knee,  the  shin-bone,  or  the  ankle,  apply  nothing  but  cold  water 
without  any  bandage — unless  in  the  beginning,  to  stop  the  bleeding,  you 
may  make  use  of  pressure  ;  afterwards  merely  tie  something  over  the  wound 
to  keep  off  the  air,  particles  of  dust,  &c.'  All  other  applications  are  injurious 
as  they  may  produce  ulcers,  which  sometimes  eat  into  the  bone.  The  reme- 
dies recommended  for  fractures,  may,  likewise,  be  applied  externally  in  a 
diluted  state. 

')  Reineflief. — By  selecting  in  every  case  the  suitable  remedies,  the  cure 
will  be  considerably  accelerated.  As  soon  as  the  patient  is  at  rest,  give  him 
one  of  the  remedies  prescribed  for  wounds.  If,  after  such  a  medicine,  the 
fever  increases  and  is  attended  with  dryness  of  the  skin  and  great  restless- 
ness, give  Aconite ;  but  if  the  restlessness  is  accompanied  by  great  excite- 
ment, Coffea  ;  should  the  patient  have  lost  much  blood,  give  China;  but  if 
DO  great  improvement  takes  place  within  six,  eight  or  twelve  hours,  admin- 
ister one  of  the  following  remedies  : 

Apium  virus,  if  punctured  wounds  become  red,  very  much  inflamed  when 
touched  ;  particularly  if  the  pain  is  burning,  piercing,  and  if  the  redn'.',ss 
spreads  like  erysipelas.  If  the  redness  runs  down  the  inside  of  the  arms  or 
legs  in  interrupted  stripes,  Rhus  is  better,  and  afterwards  Arseiiiciun. 

Arnica,  if  the  injury  has  more  the  nature  of  a  bruise  than  of  an  open 
wound,  if  the  parts  affected  are  brown  and  blue,  or  become  so  ;  if  the  wound 
can  be  well  united  ;  if  it  was  merely  in  the  skin  (remembering  that  the  skin 
in  some  places  is  very  thick). 

C<i/en,(lula,  if  the  wound  is  lacerated,  if  it  is  a  deep  gash,  whose  sides  can 
be  but  imperfectly  united  ;  if  moving  causes  pain,  even  after  the  wound  is 
dressed  ;  if  the  skin  or  flesh  has  come  off  in  pieces  ;  if  the  wound  looks  torn 
and  jagged  ;  it  answers  for  the  worst  kind  of  pains. 

Siuj)hi-'--(/f/ria,  if  the  wounds  are  clean,  deep  cuts  in  the  flesh,  made  by  a 
sharp  knife,  or  glass,  or  consequent  upon  surgical  operations. 

If  bones  have  been  injured  at  the  same  time,  do  not  forget  the  remedies 
recommended  before. 

In  these  cases.  Arnica.  CahnduJn  and  Sf'ipl/i.s-a<fria  should  be  administcreil 
externally  in  the  following  way :— Take  a  few  drops  of  the  tincture,  dilutf  it 
considerably,  and  with  this  moisten  small  pieces  of  rags  and  place  them  on 
the  wound. 

To  pei^sons  wl-- 1  have  a  bad  skin,  which  is  irritated  by  the  slightest  injury, 

9 


86  THE   MOST   COMMON   CAUSES   OF   DISEASE. 

give  Cli/imnmiUa ;  and  should  it  do  no  good,  Hepar.     Sometimes  it  is  neces 
Bary  to  give  SHice/i,  and  the  remedies  prescribed  for  ulcers. 

f)  Lock-jaw. — (Trismus.) — When  convulsive  symptoms  after  an  injury 
appear,  and  trismus  or  lock-jaw  is  to  be  apprehended,  it  is  always  best  to 
send  at  once  for  a  homoeopathic  practitioner.  But,  if  in  this  emergency 
none  can  be  obtained,  endeavor  to  render  assistance  as  you  may  be  able.  If 
a  patient,  who  has  been  wounded,  complains  of  pains  in  the  bowels,  without 
any  other  cause,  lock-jaw  is  to  be  feared.  S''iplii^-a:/ria  and  Colo-i/nlhis,  given 
alternately,  may  prevent  it.  If  the  patient  complains  of  much  pain  in  the 
neck,  or  of  excessive  stiffness  in  the  neck  and  back,  especially  if  this  is  pre- 
ceded by  a  good  deal  of  stretching  of  all  the  limbs  ;  if  he  complains  of  cramp, 
or  pain  resembling  cramp,  in  the  joints  of  the  jaw  or  in  the  cheeks  near  the 
ears ;  if  he  feels  constant  inclination  to  yawn,  and  yet  is  unable  to  open  his 
mouth  sufficiently;  if  he  is  fretful,  irritable,  difficult  to  please,  give  L/nafia, 
untd  there  is  improvement.  But  if,  after  several  doses  have  been  taken,  ho 
grows  worse,  if  lock-jaw  takes  place,  if  his  back  is  stiff  and  rigid,  give  Mei- 
ciirii's,  if  this  fails,  B-llidnniui,  especially  if  his  face  is  red;  Acom'e  if  it 
grows  pale  and  red  alternately.  In  some  cases,  where  the  sufferer  becomes 
cold,  Bryonia  or  Vciatrum  may  be  effectual ;  if  warmth  makes  him  worse, 
Sxale.  A  person,  not  a  medical  man,  will  hardly  be  able  to  select  the  pro- 
per remedy  among  all  those  indicated.  Iguafla  is  the  principal  remedy,  if  j 
the  patient  grows  worse  whenever  he  is  touched  or  handled;  if  touching  m 
causes  first  more  pain,  and  then  makes  the  patient  worse,  C/iiiia  ;  if  there  iii-st  " 
appears  a  redness  around  the  wound,  resembling  erysipelas.  Rata;  if  much 
mercury  had  previously  been  given,  Rhus,  Ili/oxrj/ai/in.-,-  or  Sranioiiiinii  m;iy 
sometimes  be  the  remedies.  In  general,  it  may  be  said  that  the  choice  of  the  J 
proper  medicine  often  depends  on  the  most  minute  circumstances.  ^ 

g)  Bleeding  of  the  Guiuft. — Frequently  the  gums  bleed  considerably  ofl^'r 
the  extraction  of  a  tooth.  The  application  of  vinegar  in  such  cases  is  always 
injurious;  endeavor  to  staunch  the  blood  with  cold  water. 

Instead  of  the  always  injurious  styptics  and  the  barbarous  red-hot  iron, 
Dr.  Cartwright  has  recommended  the  following  excellent  plan: — "  Insert  a   j 
pledget  of  raw  cotton,  witliout  force,  into  the  cavity  ;  apply  a  common  tour-  m 
piquet  over  the  head,  place  the  pad  on  the  side  of  the  clieek  over  the  bleed-     ■ 
ing  gum,  the  screw  over  the  pad,  and  a  few  turns  of  the  screw,  without 
giving  pain,  are  sufficient."      The   rationale   is :   what  was   caused  by  the 
lacerating  pressure  from  within  out,  must  be  overcome  by  a  mild,  o])posite 
pressure  from  without  in.    The  ingenious  inventor  therefore  says  :  '•  The  true 
indication  is,  to  contract  the  cavity  by  compressing  with  the  fingers  on  every 
side  of  it,  introducing  previously  a  loose  pledget  of  cotton  or  lint,  for  the 
sides  of  the  cavity  to  contract  upon ;  and  in  severe  cases  to  resort  to  the 
tournicjuet  to  make  the  lateral  pressure." 

If  there  is  much  pain  and  swelling,  give  Amirn ;  if  fever,  A  ■•>iii'e.  Some- 
times it  is  well  to  giv"  them  alternately.  If,  in  consequence  of  having  taken 
cold,  the  medicines  do  not  afford  any  relief,  give  J,'hu.<  or  /liyonia.  For 
throbbing  pain  in  the  bone,  which  is  so  violent  that  it  can  hardly  be  borne, 
sometimes  attended  with  fever,  H!io-:i-:/amus  will  be  beneficial.  If  the  jaw 
swells,  and  a  tedious  suppuration  follows,  take  Silicea  once  a  week  until  it 
improves. 

h)  Large  wounds  on  fJie  head. — When  the  bones  of  the  head  have  been  in- 
jured, or  deep  wounds  have  been  received  in  the  throat  and  in  the  breast,  or 
Btabs  in  the  abdomen — all  wounds,  in  short,  where  the  joints  have  been 
crushed,  or  which  penetrate  into  the  joints,  must  absolutely  be  treated  by  a 


CHAP.  IX.  EXTERNAL   INJURIES.  87 

surgeon.     We  will,  however,  mention  here,  in  a  few  words,  the  course  to  be 
pursued  in  case  a  surgeon  is  not  at  hand. 

When  a  limb  has  been  partially  crushed,  it  may  sometimes  be  preserved  by 
cold  applications,  or  by  putting-  ice  upon  it  and  by  giving  internally  Arnica, 
alternating  sometimes  with  Aconite ;  this  preservation  is  possible  even  when 
mortification  has  already  taken  place,  by  giving  first  China,  and  afterwards, 
when  the  skin  begins  to  turn  black,  Lacheus.  The  surgeon  alone  can,  how- 
ever, judge  what  is  best  to  be  done,  and  we  only  propose  this  treatment, 
when  the  patient  refuses  to  submit  to  amputation,  when  no  surgeon  who 
can  perform  the  operation  is  to  be  procured,  or  when  it  is  too  late  to  under- 
take it. 

i)  Larrie  tcounds  in  the  abdomen. — These  wounds  are  often  not  so  desperate 
as  they  appear  to  be  ;  even  if  the  bowels  protrude  and  the  whole  belly  is  torn 
open,  do  not  give  up  the  patient.  Recovery  sometimes  takes  place  contrary 
to  all  expectation,  from  wounds  apparently  fatal,  lloplace  the  entrails  as 
Boon  as  possible,  but  not  without  having  first  cleansed  them  of  sand  and  dirt, 
or  of  whatever  else  may  be  adhering  to  them.  This  ought  to  be  done  with 
luke-warm  water,  by  merely  rinsing  and  without  rubbing  Be  careful  that 
no  water  enters  the  abdomen.  Do  not  lay  hold  of  the  entrnils  with  your 
hands,  but  with  a  soft,  clean,  linen  cloth.  Let  the  patient  neither  smell  nor 
take  any  spirits  or  anything  strong. 

If  the  patient  is  quite  stupid  or  stunned,  give  him  Opium  ;  if  greatly  ex- 
cited, Cojf'ea  :  if  he  has  convulsions,  Ljnaiiu  :  if  he  turns  i)ale.  if  the  nose 
becomes  sharp  and  the  limbs  cold,  give  China;  but  as  soon  as  the  first  alarm 
is  over,  give,  in  all  cases,  ArnicK.  When  no  surgeon  can  be  procured,  sew 
up  the  wound  with  a  waxed  thread,  only  leaving  a  small  opening  in  the 
deepest  places,  and  dress  it.  to  prevent  the  air  from  penetrating,  in  the  man 
ner  above  described,  without  giving  anything  further.  If  diarrhoea  ensues, 
which  is  also  sometimes  the  case  after  surgical  operations,  give  Colori/nfhis, 
afterwards  if  worse,  Staphisagria,  they  may  be  taken  alternately,  until  the 
symptoms  change.    If  very  bad  symptoms  appear,  try  Lachesis  or  Fho.sphoru6: 

Burns  and  Scalds. 

For  a  superficial  burn  or  scald,  the  best  remedy  is  to  hold  the  part  to  the 
fire,  and  the  worst  to  put  it  into  cold  water,  or  to  apply  to  it  other  cooling 
things,  such  as  potatoes,  carrots,  turnips.  &c.  It  is  well  known  that  after 
the  latter  always  blisters  and  ulcers  will  follow.  The  former,  on  the  con- 
trary, draws  out  the  heat,  that  is  to  say.  the  effects  of  the  burn  disappear 
by  the  application  of  moderate  heat.  The  application  of  dry  heat,  however, 
is  not,  at  all  times,  practicable ;  particularly  when  the  burnt  or  scalded  sur- 
face is  large,  as  in  this  case  the  heat  cannot  be  ap])lied  equally  to  every  part. 
For  children  the  operation  rs  too  painful;  and  in  hums  when  the  skin  is  de- 
stroyed, or  when  the  injury  is  in  the  face,  it  is  also  inapplicable.  Other  reme- 
dies, therefore,  have  to  be  used,  which  are  of  easier  application,  and  of  which 
the  effect  resembles  that  of  heat. 

The  application  of  spirits  of  wine,  strong  brandy,  rum.  &c..  particularly 
when  warmed,  is  much  better.  Place  a  flat  saucer,  or  other  vessel,  contain- 
ing one  of  these  articles  upon  the  stove;  in  the  meantime,  set  on  fire  another 
saucerful  and  let  it  burn  a  few  minutes  until  hot,  and  then  put  it  out  by  cover- 
ing it,  and  apply  it  whilst  the  first  saucerful  is  being  heated.  Contuiue  to 
moisten  the  scald  or  burn  with  it  as  long  as  it  aggravates  the  pain  in  the 
least.     To  extensive  scalds  and  burns  it  may  be  applied  by  d'ppiug  rags  into 


88  THE   MOSr   COMMON   CAUSES   OF   DISEASE. 

the  spirit  anc  keeping  them  constantly  moist.  "When  half  the  body  is  burnt, 
however  or  when  the  injuries  are  deep,  this  remedy  cannot  be  well  ajiplied  ; 
nor  is  it  of  use  in  the  \icinity  of  the  eye,  or  other  sensitive  parts — and  it  will 
do  no  good  when,  in  the  first  confusion,  cold  water  had  been  applied. 

Tn  many  cases  when  the  scald  or  burn  covers  a  large  surface  without  being 
very  de<'p,  raw  cotfoii  is  a  very. good  remedy.  It  should  be  spread  in  layf  rs 
over  the  burn.  Blisters,  if  any  have  arisen,  should  be  first  punctured — a  fine 
needle  answers  best  for  this  purpose — and  t'lie  sores  washed  with  warm  watei. 
If  the  wound  suppurates,  take  off  the  upper  layer,  but  let  the  lower  one 
remain,  and  put  fresh  cotton  on  the  top;  at  the  same  time  the  whole  limb 
must  be  properly  dressed.  The  earlier  the  cotton  is  applied,  the  more  effica- 
cious it  proves  ;  but  after  the  application  of  cold  water  or  cooling  roots,  it  is 
of  little  use. 

l^oap  is  one  of  the  best  remedies  both  in  superficial  and  deep,  ulcerated 
burns.  It  is  the  more  valuable  as  it  is  easily  procured  and  applied,  and  will 
prove  serviceable  even  after  other  improper  remedies  have  been  used.  Take 
white  Castile  soap,  not  the  common  resinous  soap,  scrape  it  fine  and  make  a 
tliick  salve  with  lukewarm  water,  make  a  plaster  of  this  by  spreading  it  on 
pieces  of  linen  or  muslin,  and  cover  the  scalded  or  burnt  surface  with  it, 
taking  care  that  it  comes  in  contact  with  every  part.  If  blisters  have  already 
formed,  puncture  them  as  directed  above,  and  cut  otf  as  much  of  the  loose 
skin  as  possible,  and  dress  the  wound  so  as  to  keep  the  surface  in  contact 
with  the  plaster. 

The  dressing  may  be  changed  every  twenty-four  hours,  by  carr fully  remov- 
ing the  old  plaster  and  replacing  it  immediately  by  a  fresh  one,  without  wash- 
ing or  otherwise  interfering  with  the  sore. 

At  first  the  application  of  the  soap  plaster  will  probably  increase  the  paiii , 
this,  however,  will  be  but  temporary,  and  will  soon  be  followed  by  a  decrease 
of  the  sufi'ering.  This  treatiuent  should  be  continued  until  the  sore  is  healed. 
The  completion  of  the  cure  will,  of  course,  depend  upon  the  e.xtent  of  the 
injury — but  at  all  events  it  will  take  place  nmch  earlier  than  if  you  begin  by 
applying  cold  water,  lead-water,  and  such  things  to  the  burn.  81ight  burns 
and  scalds  will  heal  in  two  or  three  days,  and  bad  ones  in  eight  or  ten.  It 
will  effect  a  cure  even  where  the  burn  has  penetrated  to  the  bone ;  generally 
it  prevents  suppuration,  and  if  skilfully  applied,  leaves  no  scars. 

Liine-tciUer  mixed  with  sweet  oil  also  makes  a  very  good  salve  for  burns  ;  it 
may  be  applied  in  the  same  manner  as  soap,  and  may  be  used  instead  of  that 
in  case  the  latter  proves  too  irritating. 

In  a  very  bad  case  of  burning  the  hand  with  burning  fluid,  (oil  of  turpen- 
tine and  alcohol,)  when  cantharides  and  soap  were  of  no  use,  a  salve,  made 
of  a  solution  of  chloride  of  lime  and  sweet-oil,  eased  the  pain  immediately, 
and  cured  the  hand  in  a  short  time.  It  is  particularly  applicable  in  hot  wea- 
ther, when  suppuration  follows. 

In  all  cases  keep  the  air,  as  much  as  possible,  from  the  burn  ;  do  not.  there- 
fore, dress  the  wound  too  often,  and  leave  it  uncovered  no  longer  than  is 
necessary.  Cover  all  the  sore  places  accurately  and  carefully,  and  do  not 
'  suffer  the  linen  to  lie  in  folds,  lest  it  stick  to  the  sore,  neither  attempt  to  re- 
move the  salve  which  adheres  to  the  wound.  Open  the  blisters  wliere  most 
water  has  collected,  cut  oft"  the  skin,  especially  where  it  is  loose  and  shrunken, 
and  tie  the  whole  up  tightly  but  gently,  without  using  too  much  coverinsr. 

C'intharUh'ti. — The  tincture  of  cantharides  diluted,  in  the  proportion  of  five 
to  eight  drops  of  the  tincture  to  half  a  tumbler  of  water,  is  one  of  the  most 
efficacious  remedies  for  burns.     It  may  be  applied  by  dipping  rags — linen  are 


CHAP.  IX.  EXTERNAL   INJURIES.  89 

best — into  it,  and  appljino:  them  to  the  seat  of  the  injury,  renewing  them  two 
or  three  times  a  day,  or  whenever  the  pain  begins  to  get  worse  again. 

It  may  be  used  in  slight  and  severe  burns,  immediately  after  the  reception 
of  the  injury  or  at  a  later  period,  after  proper  or  improper  remedies  have 
been  used. 

If  nothing  else  is  at  hand,  the  violent  pains  may  be  mitigated  by  strewing 
hair-powder  or  powdered  starch  or  flour  upon  the  burn  or  scald. 

For  burns  in  the  mouth,  throat  or  stomach,  caused  by  taking  too  hot  food, 
or  in  the  rectum,  occasioned  by  taking  injections  too  hot,  dissolve  a  few  glo- 
bules oi  Ais-eriicinn  in  a  cup  full  of  water.  Take  a  tea-spoonful  occasionally, 
and  keep  it  in  the  mouth  for  a  while  ;  nse  this  medicine  also  in  the  form  of 
injections,  but  if  it  does  no  good,  give  Cait.'^firian,  lihua  or  Carbo  uegefabilis. 
For  small  burns  on  the  hands  of  workingmen,  the  best  remedies  ai'e :  Gutta 
percha  dissolved  in  oil  of  turpentine  or  collodium. 

Burns  from  sulphuric  or  other  acids  require  lime-water,  or  chalk  mixed 
with  water;  if  caused  by  an  alkali,  vinegar  will  prove  beneficial,  or  scraped 
apples. 

In  burns  from  phosphorus  there  is  no  better  remedy  than  oil,  sweet  oil 
especially  ;  renewing  its  application  until  the  pains  cease. 

For  the  fever  which  sometimes  accompanies  burns,  give  Aconite.  Arnica 
should  not  be  used  in  injuries  of  this  kind.  In  convulsions  arising  from  severe 
burns,  Chauiomilla  has  proved  beneficial.  Extensive  burns  are  sometimes 
attended  by  diarrhoea  or  costiveness,  but  nothing  should  be  done  for  either  ; 
unless  the  latter  lasts  longer  than  four  or  five  days,  when  injections  of  warm 
water  may  be  given.  If  the  diarrhoea  is  attended  with  pains  in  the  bowels,  give 
Pulsatilla,  afterwards  Snlplmr.  The  diarrhoea  which  sometimes  makes  its 
appearance  is  essential  to  the  preservation  of  life,  and  ought,  on  no  account, 
to  be  interfered  with,  unless  it  continues  for  weeks  after  the  burn  has  been  cured, 
give  Calcarea,  if  it  is  more  frequent  between  noon  and  midnight;  Aiseniaim, 
if  more  towards  morning  and  in  the  forenoon.  In  most  cases  it  will  disappear 
of  itself,  if  you  drink  plenty  of  cold  water,  and  take  frequent  exercise  in  the 
open  air ;  both  of  which  are  necessary  to  restore  persons  who  have  been 
severely  burned  or  scalded.  If  hands  and  feet  become  much  swollen,  give 
Calcarea. 

Of  the  application  of  ointment  of  lead,  or  lead-water,  I  can  only  assure  my 
readers  that  it  has  never  done  the  least  good  ;  the  horrid  suppuration,  ulcers, 
and  dreadful  scars  which  it  leaves  behind,  could  not  be  worse  if  nothing  were 
done.  To  put  a  stop  to  the  use  of  these  aljominable  medicines  among  rational 
people,  it  cannot  be  too  often  repeated  that  the  application  of  lead-water  to 
any  considerable  part  of  the  body  (in  case  of  a  severe  burn)  almost  inevitably 
proves  fatal.  Children  who  have  been  thus  treated  with  lead-water,  when 
half  the  body  has  been  burned,  have  died  in  consequence — not,  as  is  errone- 
ously supposed,  of  the  burns,  but  of  the  poison,  of  which  the  symptoms  fur- 
nish incontrovertible  evidence. 

9*' 


90  THE   MOST   COilMON   CAUSES   OF   DISKA.SE. 


CHAPTER    X. 

FOREIGN    SUBSTANCES    INTRODUCED    INTO  THE    HUMAN 

BODY. 

I.  Into  the  Eye. 

Washing  the  eye  with  water  will  be  beneficial  if  dust  or  any  insoluble  sub- 
stance has  got  into  it,  but  will  be  injurious  if  the  substance  is  soluble,  as  the 
washing  will  only  tend  to  diffuse  it. 

Rubbing  the  eye  should  also  be  avoided,  as  it  merely  increases  the  irrita- 
tion. Putting  the  eye  immediately  in  a  vessel  of  cold  water  and  holding  it 
tiiero.  will  Crequently  remove  the  cause  of  irritation  and  afford  relief.  Sweet 
oil  will  mitigate  the  irritation,  when  caustic,  sharp  acids  or  salts  have  caused  it; 
but  it  is  injurious  when  caused  by  the  powder  of  Spanish-flies,  or  dead  insects. 
The  white  of  eggs  is  very  good  when  sharp,  dusty  mineral  substances,  paint, 
or  5;mal]  pointed  particles,  get  into  the  eye.  For  lime,  ashes,  some  kinds  of 
dye-stuffs  and  perhaps  tobacco,  cream  or  sour  milk  is  the  best  remedy. 

If  some  hard  substance  gets  into  the  eye  and  cannot  be  removed  by  the 
above  means,  but  continues  to  cause  irritation  and  pain,  draw  the  eyelids 
apart,  roll  up  a  bit  of  paper,  so  as  to  have  a  soft  point,  with  this,  as  with  a 
hair  pencil,  you  may  seize  and  take  it  away.  Fine  blottingpaper  will  answer 
best  for  this  purpose,  as  the  foreign  body  will  more  readily  adhere  to  it. 
Should  it  be  necessary  to  push  the  pointed  paper  far  back  into  the  eye, 
moisten  it  first  with  saliva. 

I3y  taking  hold  of  the  eyelids  with  the  thumb  and  finger,  drawing  them 
out  from  the  eye,  and  everting  them,  while  at  the  same  time  the  eye  is  slowly 
moved  in  every  direction,  you  may  ascertain  whether  there  is  anything  ad- 
hering to  the  inner  part  of  them.  In  order  to  evert  the  upper  eyelid,  seize 
the  eyelashes  with  finger  and  thumb  of  one  hand,  and  press  with  a  pencil  or 
other  similar  body  held  in  the  other  hand  on  the  upper  part  of  the  lid,  direct- 
ing the  patient  to  look  downwards.  The  lid  is  thus  easily  everted  and  any 
extraneous  substance  adhering  to  its  lining  membrane  readily  detected  and 
removed. 

Particles  of  iron,  particularly  those  projected  hot  into  the  eye,  when  strik- 
ing fire,  or  from  a  smithy,  usually  adhere  very  tenaciously;  sometimes  you 
may  succeed  in  extracting  them  with  a  bent  hair,  introduced  under  the  eye- 
lid, and  moved  backward  and  forward,  or  with  a  clean  ear-pick.  A  magnet 
Is  .lever  of  any  use,  unless  the  particle  should  be  loose,  and  in  that  case  paper 
will  answer  every  purpose 

i'articles  adhering  to  or  imbeded  in  the  cornea  are  best  removed  by  a 
cimciiing.needle.  This  is  a  delicate  operation  and  requires  the  skilful  hand  of 
an  experienced  operator  to  do  it  safely. 

Jliibliing  is  injurious  at  all  times,  in  order  to  avoided  it,  put  on  a  linen 
compress  dipped  in  water.  Sleep  sometimes  diminishes  the  pain.  If  the  eye 
i<  red  and  initamed  after  the  removal  of  the  foreign  body,  give  Aconite,  which 
is  also  of  service  if  it  cannot  be  got  out.  and  will  diminish  the  pain  until  you 
can  procure  a  surgeon,  or  till  the  night  is  passed,  when  day-light  will  enable 
you  to  examine  more  closely.  If  alter  giving  Acouiie  several  times,  the  eye 
Continues  sensitive  and  red,  give  i^'ulpLur,  and  in  case  this  does  not  prove 
efBcacioos,  Calcarea  or  l^ituea. 


CHAP.  X.        FOREIGN  SUBSTANCES,  ETC.  91 


2.  Into  the  Ear. 

When  an  insect  has  found  its  way  into  the  ear,  place  the  patient  upon  the 
oyjposite  side,  and  pour  sweet-oil  into  the  ear,  until  the  insect  becomes 
visible  ;  then  take  it  out  with  a  small  roll  of  paper,  or  a  pair  of  delicate 
forceps. 

Extraneous  bodies,  such  as  gravel,  shot,  beads,  cherry-stones,  pieces  of 
wood,  peas,  beans,  pins,  &c.,  are  often  put  into  the  ear  by  children.  If 
attended  to  before  they  excite  inflammation  and  swelling,  they  can  generally 
be  removed  by  very  slender  forceps  or  by  a  hair-pin,  the  curved  end  of  which 
has  been  bent  so  as  to  form  an  obtuse  angle,  like  the  heel  of  a  spoon, 
aud  to  which  a  handle  has  been  made  by  sticking  the  points  of  the  pin  into 
a  cork. 

Place  yourself  behind  the  ear,  draw  it  upwards  and  backwards  with  one 
hand  and  at  the  same  time  away  from  the  head,  that  you  may  look  into  it  as 
far  as  possible  ;  dip  the  instrument  into  sweet  oil,  and  pressing  the  bent  part 
against  the  back  part  of  the  internal  ear,  push  it  in  till  it  passes  behind  and 
around  the  object ;  then  lift  a  little,  and  the  end  of  the  pin  will  take  hold  of 
it  from  behind,  like  a  spoon,  and  bring  it  out. 

If  you  cannot  succeed  in  passing  the  hair-pin  behind  the  object,  you  may 
sometimes  be  able  to  remove  it  by  a  small  syringe,  (sold  by  druggists)  with 
a  slender  nozzle  ;  fill  it  with  warm  water,  pass  the  point  of  the  nozzle  along- 
side the  object  and  try  to  squirt  it  out. 

If  pain  and  inflammation  of  the  ear  remain,  give  Arnica,  and  after  a  few 
hours,  Fuhatilla.  If  the  inflammation  is  already  very  considerable,  and  the 
ear  so  much  swelled  that  nothing  can  be  got  out,  Pal.safilla  is  also  of  service. 
In  some  cases,  when  the  children  are  in  great  pain,  have  much  fever,  speak 
incoherently,  or  behave  as  if  delirious,  give,  if  Fuhatilla  does  not  suffice, 
Belladonna,  aud  afterwards,  if  there  is  still  some  pain  left,  Sulphur. 

3.  Into  the  Nose. 

Foreign  bodies,  if  not  very  firmly  fixed,  may  be  removed  from  the  nose  by 
taking  a  full  inspiration,  closing  the  mouth,  and  expelling  the  air  forcibly 
through  the  nostrils ;  or  by  tickling  the  nostrils  with  a  feather,  or  a  little  dry 
snuff  to  bring  on  sneezing  Sometimes  obstructions  may  he  removed  from 
the  nose  with  forceps  or  by  the  same  instrument  recommended  for  the  ear,  or  a 
similar  one,  but  somewhat  longer,  or  they  may  be  pushed  back  so  as  to  fall 
into  the  mouth.  Do  not  make  too  many  experiments,  but  rather  apply  to  a 
surgeon  who  has  the  necessary  instruments.  The  swelling,  which  will  some- 
times prevent  the  extraction  of  an  object,  or  which  remains  after  it  has 
been  extracted,  may  be  considerably  lessened  by  the  administration  of  Aconite 
and  Arnica;  or  if  these  do  not  succeed,  by  Rhus  or  Belladonna.  For  the 
remaining  pain  and  suppuration,  if  any,  give  Sulphur. 

4.  Into  the  Throat  (CEsophagiis.) 

If  a  foreign  substance  lodges  in  the  throat,  endeavor  to  make  the  patient 
throw  up,  by  beating  him  between  the  shoulders ;  let  him  open  his  mouth, 
press  down  his  tongue  with  a  spoon  and  look  into  the  throat,  in  order  to 
ascertain  whether  there  be  anything  that  can  be  seized  and  brought  cut  with 
the  finders. 


92  TUE    MOST   COMMON    CAUSES    OF   DISEASE. 

If  a  large  piece  of  food  remains  in  the  throat  on  account  of  its  size  and 
hardness,  it  is  advisable  to  excite  vomiting,  particularly  if,  upon  retching,  you 
perceive  the  o'ustnictiou  move  upward.  Ticliliug  the  throat  will  sonntimes 
effect  this,  if  not,  put  snuff  on  the  tongue,  or  give  an  injoctiou  of  tobacco. 
When  it  can  be  felt  on  the  outside  of  the  throat,  a  gentle  pressure  upward 
may  force  it  out.  At  first  you  ought  to  endeavor  to  make  the  sufferer  thrrw 
up  again  whatever  has  been  swallowed,  but  do  not  proceed  with  too  much 
violence.  If  the  substance  has  already  descended  so  far  that  it  cannot  lie 
felt  in  the  throat,  and  it  seems  as  if  it  were  sticking  fast  in  the  chest,  it  must 
be  forced  down  into  the  stomach,  particularly  if  it  is  soft,  smooth  and  soluble, 
and  is  only  arrested  on  account  of  its  size.  If  the  sufferer  feels  that  at  times 
it  shps  down,  it  should  be  allowed  to  glide  of  itself  into  the  stomach,  or  as- 
sisted by  occasionally  swallowing  a  little  water,  provided  it  is  a  substance 
which  will  not  swell  ;  otherwise  a  little  melted  butter  or  sweet  oil.  If  the 
symptoms  however  become  too  troublesome,  endeavor  to  push  it  down.  For 
this  purpose  take  a  smooth,  willow  twig  or  a  long  piece  of  whalebone, 
scraped  perfectly  smooth,  and  tie  to  the  end  of  it  a  bit  of  sponge.  To  be 
able  to  fasten  it  on  well,  cut  a  few  notches  in  the  stick,  and  use  waxed  thread 
or  silk.  Rub  some  sweet  oil  on  thfs  instrument,  and  introduce  it  cautiously 
into  the  throat,  pushing  gently  against  the  back  of  the  throat. 

If  a  contraction  takes  place,  which  prevents  the  substance  from  being 
moved,  or  if  pains,  difiBculty  of  breathing,  and  other  symptoms  make  their 
appearance,  give  Igimtia  ;  and  if  this  fails  to  relieve,  Chamomilla;  then  sweet 
Dil  or  butter ;  and  after  this,  try  again  to  push  it  down  ;  if  the  face  is  pale,  if 
there  is  nausea,  worse  after  speaking,  give  Coccvhis ;  if  the  face  is  red  and 
if  there  is  a  constant  inclination  to  swallow,  Belladonna. 

Frequently  the  sensation  of  something  sticking  in  the  throat  will  remain, 
although  the  substance  has  already  descended  into  the  stomach.  This,  how- 
ever, is  of  no  consequence,  ami  will  disappear  of  its  own  accord,  or  after 
medicine.  You  may  judge  that  this  is  the  case  when  the  pain  increases  no 
longer,  but  remains  the  same,  and  when  no  other  symptoms  appear ;  also, 
when  soft  or  fluid  things  can  be  swallowed  without  coming  up  again,  and 
which,  when  passing  the  sore  spot,  produce  some  pain,  without  making  it 
much  worse.  In  such  cases  give  Arnica,  and  afterwards,  if  necessary,  Mircu- 
riua,  or  one  of  the  medicines  prescribed  below.  But  if,  on  the  other  hand, 
there  are  small  particles  still  remaining  in  the  throat,  producing  constant 
irritation,  give  St.'i-ea. 

If  a  bone  remains  in  the  throat,  which  is  so  large  that  it  cannot  go  down, 
extract  it  in  the  manner  recommended  below,  or  let  a  surgeon  be  called  in. 

With  sharp,  pointed  articles,  such  as  pieces  of  glass,  fish-bones,  smail 
bones,  needles,  &c.,  be  cautious  and  u^e  no  violence.  Frequently  swallowing 
a  large  mouthful  of  slightly  chewed  bread,  potatoes,  figs,  dried  prunes,  &c., 
will  remove  them;  or  if  they  are  small  pointed  articles,  which  pierce  the 
membrane,  pills  made  of  wax  as  large  as  a  musket-ball,  dipped  in  honey,  those 
made  of  wax  fresh  from  the  hive,  and  rolled  in  the  honey  until  they  become 
round  and  smooth,  are  to  be  preferred. 

When  dangerous  symptoms,  such  as  violent  pain,  retching  almost  to  suffo- 
cation, great  auguish,  fits,  itc,  occur,  hasten  to  remove  the  obstruction,  or  at 
least  to  loosen  it.  A.  violin  strini;-,  or  a  fine  wire,  bent  in  the  middle  so  as  to 
form  a  small  loop,  will  answer  this  purpose.  It  must  be  introduced  in  such  a 
manner  that  the  ends  of  the  sling  or  loop  are  out  of  the  mouth.  Push  it  for- 
ward gently  until  it  is  below  the  painful  spot,  then  move  it  up  and  down,  and 
twirl  it  round  several  times,  and  draw  it  up  again  slowly.  In  some  cases  a 
piece  of  whalebone,  or  a  small  willow  twig,  as  described  above,  will  answer 


CHAP.  X.  FOKEIGN'   SUBSTANCES,    ETC.  93 

better.  This  should  be  introduced  M'ith  a  rotaiy  motion,  until  the  di  v  S|iuns(! 
is  below  the  object,  then  give  a  mouthf-.il  of  water,  and  after  the  sponge  has 
pwelled  a  little,  draw  it  up  slowly  A  feather  tied  to  a  strong  thread,  may  be 
pushed,  quill  foremost,  down  the  throat,  so  that  the  feathery  part  when  jiulled 
up,  may  press  against  the  sides,  and  on  being  turned  several  times  may  hiosen 
and  bring  up  the  foreig'n  body.  Pins,  needles,  fish-bones,  etc.,  may  sometimes 
be  extracted  by  tying  to  a  whalebone  or  willow  twig  a  number  of  silk  slings, 
made  like  those  for  catching  birds,  introduced  in  the  manner  above  described, 
and  turned  round  several  times.  A  piece  of  fat  meat — bacon — tied  to  a 
string,  and  swallowed,  and  pulled  up  again  by  the  string,  has  also  been  used 
successfully. 

Splinters  of  glass  may  be  removed  from  the  throat,  by  taking  two  or  three 
inches  of  the  upper  end  of  a  tallow  candle,  fastened  to  a  string  by  the  wick, 
compelling  the  patient  to  swallow  it  and  then  drawing  it  up  again  ;  this  may 
be  repeated  several  times  if  necessary. 

Fish-hooks,  with  a  part  of  the  line  attached  to  them,  have  been  swallowed 
and  successfully  removed  by  drilling  a  hole  in  a  leaden  bullet,  passing  the  line 
through  it  and  causing  the  patient  to  swallow  it.  The  weight  of  the  bullet 
will  disengage  the  hook,  and  its  point,  coming  in  contact  with  the  lead,  will 
prevent  it  sticking  again  in  the  oesophagus  in  the  act  of  drawing  upon  the 
line,  so  that  both  bullet  and  hook  may  be  drawn  out  together. 

A  better  way  of  extracting  a  tish-hook,  when  the  line  can  be  f  eized  is  this  : 
take  a  long  leek,  carrot,  parsnip  or  similar  shaped  root,  cut  it  to  a  size  suitable 
for  the  oesophagus,  i.  e.  for  an  adult,  about  the  thickness  of  two  fingers,  bore 
a  hole  right  through  its  longitudinal  axis  ;  through  this  hole  pass  the  line  till 
it  issues  from  the  other  end  ;  seize  the  free  end  of  the  line  with  the  finger  and 
thumb  of  the  left  hand  and  pass  the  root  gently  down  the  oesophagus  until  it 
comes  to  where  the  hook  is  embedded  in  the  membrane  ;  employ  now  a  greater 
amount  of  force  and  you  will  tear  the  barbed  end  of  the  hook  out  of  the 
mucous  membrane,  when  this  is  done,  pull  the  line  smartly,  the  hook  will 
thereon  stick  into  the  end  of  the  root,  and  the  root  and  hook  may  now  be 
easily  drawn  up  together. 

In  performing  operations  of  this  kind,  the  patient  should  be  seated  on  a 
chair,  with  the  head  thrown  well  back,  and  supported  from  behind  by  an 
assistant ;  then  press  the  tongue  down  with  the  fore-finger  of  the  left  hand, 
and  introduce  the  instrument,  previously  oiled,  slowly  and  carefully,  pressing 
against  the  back  part  of  the  throat.  By  the  sudden  resistance,  or  the  con- 
vulsive motion  and  pain  of  the  suflerei',  you  may  know  that  the  instrument  i>i 
near  the  obstruction,  or  at  the  painful  spot.  In  pulling  it  up,  be  caieful  not 
to  strike  against  the  larynx,  and  lose  again  what  you  have  brought  up.  Rather 
press  the  instrument  a  little  against  one  side,  and  bend  the  head  quickly  for- 
ward, as  soon  as  the  end  of  the  instrument  reaches  the  top  of  the  throat. 

In  very  dangerous  cases,  where  even  the  experienced  practitioner  is  unable 
to  afford  relief,  the  last  alternative  is  to  make  an  incision  in  the  throat,  by 
which,  sometimes,  persons  have  been  saved  who  were  supposed  to  be  suffo- 
cated. 

5.  Into  the  Larynx  or  Windpipe. 

When  a  person  talks  or  laughs  when  swallowing,  or  breathes  rapidly,  whilst 
holding  something  in  his  mouth  ;  or  when  children,  in  their  play,  catch  some- 
thing with  their  mouth  which  is  thrown  towards  them,  and  it  gets  into  the 
larynx  or  windpipe,  ("  going  the  wrong  way,"  as  the  phrase  is,) — beating  with 
the  flat  hand  on  the  back  whilst  the  sufferer  bends  forward,  or  blowing  snufl' 


94  THE   M03T   COMMON'   CAUSES    OF   DISEASE. 

up  the  tiosc  to  induce  him  to  sneeze,  or  tickling  the  throat  with  a  feixtlipr  to 
produce  Vdiniliiir;-  is  not  always  attended  with  success,  and.  in  triflinu-  cases, 
it  soiiu'tiines  makes  it  worse.  Neither  too  many  nor  too  violent  attempts  of 
this  kind  ought  to  be  made.  In  the  heg-inning  yon  may  cause  the  head  to  be 
beiit  ba'ck  as  far  as  possible,  that  the  object  may  be  brought  up  by  coughing. 
Yet  not  much  can  be  expected  from  this,  if  the  foreign  substance  is  hrmlj 
fi.N'Hl  in  the  windpipe.  You  may  sometimes  ascertain  whether  there  is  any- 
thinir  uctu  '.lly  in  the  larynx,  by  taking  hold  of  the  latter  and  shaking  it  very 
gently  with  your  thumb  and  forefinger  once  or  twice;  the  obstruction  will 
rattle,  if  it  is  loose  or  sufficiently  large.  Sometimes  the  patient  will  fall 
asleep,  and  whilst  in  that  state  the  extraneous  body  is  dislodged  (the  head  in 
this  case  should  not  be  too  high). 

Such  foreign  bodies  have  been  removed  by  gently  turning  the  patient  upside 
down,  the  intruding  substance  will  then  sometimes  fall  out  by  its  own  weight. 

If  the  danger,  however,  should  continue  to  increase  in  spite  of  these  means, 
and  the  medicines  hereafter  recommended,  an  operation  must  be  performed. 
Hasten,  therefore,  to  call  in  the  nearest  experienced  surgeon  who  knows  how 
to  nnike  the  incision  in  the  windpipe, — the  only  means  which  can  save  the 
patient,  and  which  sometimes  succeeds  even  when  he  appears  already  suffo- 
cated. This  operation,  if  properly  performed,  is  by  no  means  so  dangerous 
and  difficult  as  it  would  appear,  for  most  of  those  who  are  operated  upon 
recover;  and  even  when  the  windpipe  has  been  severed  in  an  attempt  at  sui- 
cide, the  patient  is  not  unfrequontly  restored.  It  is,  therefore,  unwise  not  to 
have  recourse  to  this  operation,  if  a  skilful  surgeon  can  be  procured  in  time. 

As  the  symptoms  frequently  resemble  those  of  obstruction  in  the  throat, 
you  should  always  look  into  the  mouth,  whilst  pressing  down  the  tongue,  and 
try  if  you  can  feel  anything  with  your  fingers  or  a  spoon  ;  also  try  with  whale- 
bone or  a  willow  twig  whether  you  can  feel  any  substance  in  the  throat.  You 
may  likewise  know  by  the  following  signs,  that  there  is  something  in  the  wind- 
pipe :  the  pain  is  more  towards  the  front,  so  that  the  sufferer  can  point  it  out 
with  Ills  finger  ;  when  the  obstruction  is  in  the  throat,  the  pain  is  more  back. 
There  is  great  difficulty  in  swallowing  and  breathing  in  both  cases,  but  when 
the  windpipe  is  obstructed,  the  breathing  is  particularly  difficult,  the  face  is 
bloated  and  purple,  the  eyes  protrude  ;  the  voice-is  more  affected,  becomes 
hoarse,  or  is  lost  altogether;  the  cough  is  whistling  or  rattles,  and  threatens 
to  terminate  in  suffocation. 

I  he  symptoms,  in  some  cases,  do  not  at  first  appear  to  be  of  great  con- 
sequence, but  they  increase  gradually,  or  sometimes  they  disappear  altogether, 
and  return  with  greater  violence. 

If  the  foreign  substance  is  not  located  in,  but  below  the  larj-nx,  and  respi- 
ration is  not  impeded  by  it,  the  patient  may  seem  to  be  in  good  health  for 
days  and  even  for  weeks,  without  experiencing  any  cough  or  other  symptoms. 
Of  a  sudden,  however,  he  will  be  taken  with  violent  fits  of  coughing  almost 
to  suffocation,  the  attacks  resembling  those  of  croup.  In  such  cases  if 
Tartar  siif/n-  or  Sii'ir''a  do  not  afford  immediate  relief,  there  is  little  hope  re- 
maining. Neither  M'ill  an  incision  always  avail,  if  between  the  attacks  of 
cougliing,  the  respiration  becomes  more  and  more  difficult  and  heaving.  By 
this  time  tiie  lungs  have  become  congested,  and  the  sufferer  will  often  die 
whether  an  opening  be  made  in  the  larynx,  or  not. 

After  having  ascertained  that  the  obstruction  is  in  the  wind-pi))e,  give,  at 
once,  [peania  ik  i,  repeating  the  dose  if  it  affords  relief,  as  often  as  the  symp- 
toms become  worse  again.  Nothing  besides  this  but  sugar  or  sugar-water 
ehou  d  be  given,  until  medical  aid  can  be  procured.  BeLiadoiina  may  also 
'lave  a  good  effect.     When  the  patient  falls  asleep,  do  not  disturb  him  ;  and 


CHAP.  X.  FOREIGN   SUBSTANCES,    ETC.  95 

if  the  symptoms  reappear,  do  not  immediately  give  a  fresh  dose,  but  wait 
until  they  are  really  worse.  Sometimes  the  object  is  ejected  during  sleep. 
11'  Iklladoiiuu  does  not  suffice,  or  if  symptoms  remain  after  the  danger  is  over, 
you  may  give  ILpar.  If,  despite  of  all  these  remedies,  the  patient  should  oc 
in  danger  of  suffocation,  give  Taiiur  emetic  (3rd.  trit.) ;  v/hen  the  patient  be- 
comes pur]ile  in  the  face,  Opium. 

When  dust  has  been  inhaled,  which  causes  violent  cough,  or  hair  or  feathers 
have  got  into  the  windpipe,  Bellailouaa,  will  be  of  service;  afterwards  Hipnr. 
The  relief  will,  however,  be  but  gradual.  It  is  well  to  give,  at  the  same  time 
some  sugar  or  gum  Arabic. 

If  anything  has  got  into  the  throat  of  a  child,  and  is  located  in  or  near  the 
upper  j)art  of  the  larynx,  frequent  attacks  of  a  suffocating  cough  will  ensue, 
which  Tioiur  emetic  (3rd  trit),  will  greatly  relieve.  If  the  attacks  returc 
contimially,  or  if  there  is  a  cough  attended  with  an  offensive  smell,  give  Si/icea. 
In  almost  all  instances  gradual  improvement  will  thereby  be  eff"ected,  the  pa- 
tient getting  rid  of  the  obstruction  by  coughing,  or  by  swallowing  it.  In 
tedious  cases  Hepar  may  be  given  alternately  with  Siiic^.a. 

6.  Into  the  Stomaeh  and  Intestines. 

The  introduction  into  the  stomach  of  foreign  bodies  such  as  buttons,  coina 
rings,  &c.,  a  matter  of  a  frequent  occurrence  with  children,  and  wliich  is  gene- 
rally the  source  of  great  deal  of  uneasiness  to  the  parents,  is  not  usually  fol- 
lowed by  serious  consequences  ;  as  they  sooner  or  later  pass  off'  through  tho 
bowels  without  much  pain  or  inconvenience,  uidess  they  are  too  large  to  do 
so,  in  which  case  they  may  cause  very  serious  disturbances  or  death  itself. 

Their  passage  through  the  bowels  may  be  lacilitated  by  eating  plentifully 
of  boiled  rice,  porridge,  or  some  farinaceous  food  which  will  in  its  passags 
distend  the  stomach  and  intestines  and  help  to  cany  off'  the  extraneous  sub- 
stance. Rubbing  and  kneading  the  abdomen  softly,  or  l}ing  on  the  belly, 
frequent  exercise,  without  using  violent  exertion,  may  also  accelerate  this 
event.  A  person  who  is  disposed  to  be  costive  should  take  no  aperient  medi- 
cines, which  only  weaken  the  intestines,  but  should  eat  light  food,  plenty  of 
butter,  and  have,  daily,  an  injection  of  water  or  milk  administered. 

In  order  to  ascertain  whether  the  article  swallov.ed  has  been  discharged, 
the  excrement  may  be  allowed  to  fall  into  a  vessel  containing  water,  and  after 
it  has  dissolved,  strain  through  a  sieve  or  basket;  or,  if  needles  have  been 
swallowed,  through  a  coarse  cloth.  Needles  sometimes  make  quite  a  different 
piiKsage  for  themselves,  and  come  out  without  causitig  any  injury  ;  if  they  re- 
main too  long,  give  every  week,  Siliceii  followed  by  H'p'ir. 

if,  some  time  after  needles  or  coins  have  been  swallowed,  bad  symptoms 
make  their  appearance,  such  as  violent  pains  in  a  particular  part  of  the  abdo- 
men, as  if  sometUing  were  jammed,  give  IpecaciK/n'id.  If  it  does  good, 
repeat  it  as  often  as  the  symptoms  get  worse  again;  if  not,  Veratum  or  An.x 
vomicu.  Should,  notwithstanding,  more  violent  symptoms,  severe  colic  and 
constipation  appear,  give  Oi'iiun;  if  violent  attacks,  with  a  throbbing  pain 
in  a  particular  spot,  as  if  suppuration  was  about  to  commence,  give  J^^icUesi-n. 
Sometimes  the  mechanical  irritation  caused  by  coins  or  pieces  of  metal  taken 
into  the  stomach  will  cause  a  fatal  disease  of  the  brain,  against  which  all  our 
remedies  may  prove  unavailing,  seeing  that  the  excitnig  cause  remains. 

Sometimes  articles  which  have  been  swallowed  pass  through  the  intestines 
without  any  difficulty,  and  remain  in  the  anus.  'I'he  passage  from  thence 
will  be  assisted  by  injections  of  linseed  oil,  olive  oil,  or  milk  ;  or  by  the  in- 
Bcrlion  of  long,  thick  strips  of  bacon  into  the  rectum,  one  half  may  be  allowed 


96  THE   MOST   COMMON    CAUSES   OF   DISEASE. 

to  hang  oni,  or  they  may  l)o  hold  liy  a  thread  ;  in  this  way  the  bacon  pro- 
tects the  anus  against  the  huid  .-iil)s;iuicc'.  In  tliis  manner  the  hitter  is  fre- 
quently extracted  with  much  facility,  particularly  if  sonichody  assists  with  a 
piece  of  rounded  whalebone  or  with  the  handle  of  a  silver  spoon.  If  yon 
cannot  succeed  with  this,  send  for  a  suriicon,  and  let  him  examine  the  parts  ; 
but  have  recourse  to  no  aperients,  which  may  prove  dangerous.  If  the  anus 
closes  convulsively,  give  L/niiHn.  Hr'-'lat^onu'i  or  Li/cnpfuliuin. 

Leeches,  inadvertently  swallowed,  give  rise  to  painful  consequences,  as 
burning  pain  in  the  stomach,  hiccougli,  spitting  of  blood  and  slow  fever, 
which  reduces  the  patient  visibly.  These  consequences  may  be  prevented  or 
removed  by  the  immediate  administration  of  a  quantity  of  common  salt,  dis- 
solved Hn  water,  and  occasionally  melted  butter.  In  children,  sugar  will 
sometimes  relieve  the  symptoms.  For  the  remaining  symptoms,  if  any,  give 
Arnica,  and,  some  days  after,  Arsenicum. 

When  other  live  creatures  find  their  way  into  the  stomach,  if  insects,  let 
the  patient  swallow  some  sweet  oil  or  salt  butter;  and  if  that  fails  to  relieve 
him,  a  bit  of  camphor,  the  size  of  a  pea,  ground  up  with  oil.  When  worms, 
snakes,  frogs,  &.C.,  get  into  the  stomach,  let  thf  patient  drink  sugar-water 
and  eat  sugar,  until  it  acts  as  an  aperient.  If  this  does  not  succeed,  give  a 
smart  emetic  of  Jpecaaian/i//,  or  mustard  powder  in  doses  sufficient  to  ])ro- 
duce  vomiting.  The  bad  effects  remaining  after  the  emetic  has  produced 
its  action,  will  be  obviated  by  .'sraelling  camphor,  and  giving  Ipecacuanha  (if 
that  was  not  the  emetic  used)  several  times,  or  Knx  vomica. 

7.  Into  the  Skin. 

When  any  large  substance  gets  under  the  skin,  proceed  as  recommended 
\in(ler  the  head  of  "Wounds."  We  shall  only  mention  the  best  means  of  re- 
nmving  small,  pointed  particles,  such  as  thorns,  thistle-prickles,  chestnut-burs, 
great  numbers  of  which  sometimes  stick  in  the  skin.  In  case  they  cannot  lie 
extracted  with  a  pair  of  pincers  or  tweezers,  put  oil  on  the  spot,  then  take 
a  common  knife,  not' too  sharp,  and  scrape  the  skin  slowly,  applying  the 
whole  blade,  as  in  shaving,  and  bear  on  moderately  hard.  If  the  thorns  have 
entered  obliquely,  scrape  the  skin  in  such  a  direction  as  to  press  first  upon 
the  points.  Continue  this  operation,  applying  oil  constantly,  until  every 
thing  is  extracted. 

'I'he  same  method  may  be  pursued  when  S])linters  of  glass  get  into  the 
skin  ;  but  this  is  very  painful  and  it  is  mostly  better  to  let  them  come  out 
by  suppuration,  if  they  cannot  be  extracted  with  the  forceps,  applying  poul- 
tices to  hasten  the  suppurative  process.  For  the  inflammation  which  some- 
times ensues  give  Arnica  ;  for  the  suppuration  ilpar,  follo;ved,  if  necessary,  by 
Si/icea  and  in  case  the  suppuration  should  be  profuse,  and  the  wound  become 
deep,  and  neither  tiiUcea  nor  llcpar  bring  about  improvement,  give  Lachesis 
or  Merciirivs. 


PART   SECOND. 


TREATMENT   OF  DISEASES. 


CHAPTER    I. 

AFFECTIONS    OP    THE    HEAD. 


Giddiness,  Vertigo. 

Giddiness  sometimes  arises  from  causes  which  medicine  mayremore;  such 
are  :  disordered  or  foul  stomach,  profuse  evacuations,  ardent  spirits,  narcotic 
medicines,  and  falls  or  blows  on  the  head.  Sometimes  it  is  connected  with 
other  complaints,  and  can  only  be  removed  by  attention  to  the  general  health 
of  the  patient. 

A  person  who  is  subject  to  giddiness  should  be  moderate  in  eating  and 
drinking — should  rise  early,  walk  frequently  in  the  open  air,  and  use  now  and 
then  the  flesh-brush  in  the  evening. 

Aconite  relieves  giddiness  with  nausea,  eructations  and  vomit- 
ing, cloudiness  of  the  eyes,  loss  of  consciousness,  &;c. ;  Pulsatilla 
or  Antimordum  crud.,  if  there  be  disordered  stomach,  nausea  and 
vomiting,  repugnance  to  food,  &c. 

Arnica^  that  which  arises  during  dinner,  or  after  hearty  meals, 
with  dimness  of  vision,  whirling  in  the  head,  flushed  face,  &c. 
In  this  kind  of  giddiness,  which  is  always  alarming,  iVwcc  vomica^ 
Chamomilla,  Pulsatilla,  PIuis  and  Cocculus,  according  to  the 
disposition  of  the  patient,  will  be  beneficial.  And  abstaining 
from  wine  and  liquors  of  all  kinds  is  also  requisite. 

Sul'phir  or  Calcarea  sometimes  cures  the  giddiness  resulting 
from  the  suppression  of  old  ulcers. 

h  10  (97) 


98  TREATMENT   OF   DISEASES. 

Afercunus,  if  the  giddiness  appears  only  in  the  evening  and 
is  accompanied  by  dimness  of  sight ;  Belladonna  if  there  is 
sparkling  before  the  eyes  when  moving,  increased  by  stooping ; 
Cocculus,  against  vertigo,  which  is  increased  by  sitting  upright 
in  bed,  and  also  if  caused  by  the  motion  of  a  carriage.  Pho8- 
phorus,  if  the  giddiness  is  accompanied  by  headache  and  a  feel- 
ing of  pressure  on  the  top  of  the  head. 

Giddiness  from  close  thinking  is  relieved  by  xVmcc  vomica , 
from  looking  up,  by  Pulsatilla  ;  on  moving — better  when  lying 
—  China ;  in  bed,  Hux  vomica;  on  lying  down,  Rhus;  on  rising, 
Gham/)milla ;  on  stooping,  Aconite,  and  afterwards,  Belladonna; 
from  riding,  Hepar^  and  afterwards  Silicea  ;  when  sitting,  Pulsa- 
tilla. 

Giddiness,  with  partial  loss  of  consciousness,  or  agitation.  Bel- 
ladonna; so  bad  as  to  make  the  patient  apt  to  fall,  or  fear  that 
he  is  going  to  die,  Rhus ;  with  buzzing  in  the  ears,  headache, 
heat  or  paleness  of  the  face,  dimness  of  the  eyes,  Pulsatilla, 
worse  when  at  rest,  when  shutting  the  eyes,  when  it  becomes 
dark  before  the  eyes,  Avith  headache,  nausea  and  sneezing,  Apitim 
virus;  with  weakness  in  the  head,  China;  with  bleeding  of  the 
nose,  Sulphur;  with  fainting,  Chamomilla,  suhsequentlj,  Hepar. 

Weakness  of  Memory. 

Weakness  of  memory,  from  bleeding,  purging  and  other 
debilitating  causes,  is  removed  by  China  or  Lachesis;  in  old, 
chilly  people,  who  easily  take  cold,  if  they  prefer  staying  in  the 
room,  Nux  moschata  ;  if  they  like  to  be  in  the  open  air,  though 
they  take  cold  every  time,  Cepa  ;  that  from  blows  on  the  head,* 
Arnica;  from  spirituous  liquors,  Nux  vomica  ;  from  fright,  anger, 
vexation,  select  among  the  remedies  recommended  in  Part  L, 
Chapter  I.,  particularly  ^com'^e  and  Staphisagria :  from  damp  air, 
Veratrum,  Rhus,  or  Carlo  vegetabilis;  with  determination  of 
blood  to  the  head,  particularly  Aconite  and  Belladonna ;  if  one 
cannot  fix  his  tlioughts  upon  one  particular  thing,  Apium  virvbs; 
and  among  the  remedies  prescribed  for  these  causes,  China,  Rhus, 
Mercurius,  or  Suljjhur. 


CHAP.  I.  AFFECTIONS   OF   THE   HEAD.  99 

Benefit  will  be  derived  from  washing  the  head  every  evening  with  cold 
water,  and  tying  a  handkerchief  round  it ;  and  every  morning  washing  the 
forehead  and  eyes  iu  very  cold  water.  A  better  remedy,  perhaps,  is  to  place 
the  feet,  up  to  the  ankles,  before  going  to  bed,  in  very  cold  water  for  two 
or  three  minutes,  after  which  rub  them  well  with  a  coarse  towel. 

Determination  of  Blood  to  the  Head. 

This  is  a  very  troublesome,  and  when  of  long  continuance,  a 
dangerous  complaint.  If  the  arteries  in  the  head  can  be  felt  to 
beat  as  the  pulse  beats ;  the  veins  of  the  head  and  neck  are 
swelled,  the  head  feels  full;  frequently  giddiness  takes  place, 
particularly  when  stooping  or  when  walking  in 'the  sun;  if  the 
head  over  the  eyes  feels  like  bursting — worse  when,  stooping 
and  coughing — give  Aconite ;  if  it  does  good,  repeat  it.  Cold 
applications  to  the  feet  are  also  of  benefit.  At  the  same  time 
abstain  from  coffee,  wine  and  ardent  spirits,  and  be  moderate  in 
the  use  of  warm  drinks — but  drink  freely  of  cold  water,  and 
wash  the  neck  and  head  frequently  with  it.  If  it  comes  on 
suddenly,  the  brain  feeling  as  if  expanding,  becoming  larger 
and  larger,  with  heat  and  beating  in  the  head,  particularly  in 
the  temples  down  to  the  neck,  give  Ghnoine.  If  this  should 
not  afford  relief,  and  the  patient  is  very  irritable  or  passionate — 
has  drunk  much  ardent  spirits,  or  has  been  much  confined,  give 
Nilx  vomica. 

Belladonna^  if  there  are  severe  jerking,  burning,  shooting 
pains  on  one  side  of  the  head  or  violent  pressure  in  the  forehead 
at  every  step  or  motion,  increased  by  stooping,  or  even  by  noise, 
or  the  glare  of  light. 

Aconite^  if  accompanied  by  sparkling,  flickering  before  the 
eyes,  seeing  double,  buzzing  in  the  ears,  frequent  fainting, 
stupid,  heavy  sleep ;  if  children  are  teething,  or  when  girls 
have  arrived  at  the  age  of  puberty,  or  if  they  have  caught  cold 
during  menstruation,  particularly  from  wet  feet;  Belladonna 
may  be  given  afterwards. 

1.  Caused  by  joy  or  excitement. — If  occasioned  by  excess 
of  joy,  or  accompanied  by  great  excitement,  give  Cqffea ;  after 


100  TREATMENT   OF   DISEASES. 

a  fright,  Opium;  after  vexation,  Ohamomilla;  after  suppressed 
vexation,  Ignatia  ;  after  anger,  N^ix  vomica^  as  mentioned  before, 
when  treating  of  these  causes.  When  caused  by  a  fall  or  blow 
upon  the  head,  Arnica,  which  may  be  repeated  in  twenty-four 
hours,  if  requisite.  The  bleeding  from  the  nose  which  is  apt  to 
accompany  it,  should  not  be  interfered  with. 

2.  Caused  by  debility. — If  the  determination  of  blood  is 
caused  by  great  debility,  give  China;  if  it  returns  every  time 
after  taking  cold,  Dulcamara  ;  if  it  returns  after  lifting  some- 
thing heavy,  Rhus  ;  when  at  the  same  time  the  patient  perspires 
too  easily,  and  too  much,  Mercurius ;  if  he  feels  cold,  let  him 
smell  camphor  a  couple  of  times.  If,  in  spite  of  all  these  reme- 
dies, it  returns,  give  Sulphur^  if  the  patient  has  not  already  had 
this  medicine  ;  if  so,  give  Hepar^  and  if  this  fails,  a  fortnight 
after,  tSilicea,  but  not  more  than  two  or  three  times. 

If  the  first  mentioned  medicines  do  not  speedily  afford  relief,  and  there 
appears  to  be  dangei",  make  a  poultice  of  oatmeal  and  wrap  it  quite  warm 
around  the  feet  ;  or  bathe  the  feet  in  very  warm  water,  and  repeat  it  fre- 
quently until  there  is  an  improvement,  or  until  a  feeling  of  chilliness  comes 
on  ;  if  the  bowels  are  constipated,  give  injections  of  milk-warm  water. 

Headache. 

In  the  treatment  of  this  common  complaint,  we  may  frequently  be  guided 
by  the  causes  which  produce  the  pain,  or  by  the  complaints  which  accom- 
pany it;  it  is,  however,  necessary  to  distinguish  the  different  kinds  of  head- 
ache, as  the  same  medicine  may  prove  beneficial  or  injurious  under  different 
circumstances. 

1.  Headache  from  determination  of  blood  to  the  head,  or  from  inflam- 
mation, is  usually  throbbing,  attended  with  heat,  the  arteries  in  the  neck 
may  be  seen  to  beat ;  if  the  pain  increases,  vomiting  ensues  ;  the  headache 
becomes  worse  after  shaking,  moving  the  head,  lying  down  and  stooping  ; 
sometimes  better  when  standing.  Among  the  domestic  remedies,  vinegar  is 
the  best  ;  place  crusts  of  bread,  which  have  been  soaked  in  vinegar,  on  the- 
temples,  and  give  injections  of  warm  water  ;  if  this  does  not  afford  relief,  mix 
some  vinegar  with  the  water;  bathe  the  feet  in  warm  water,  and  afterwards 
rub  them  with  flannel.  Persons  who  are  liable  to  this  complaint,  should 
accustom  themselves  to  drink  plenty  of  cold  water,  and  rub  the  head  every 
morning  with  a  cold,  wet  cloth,  particularly  the  forehead  and  temples,  and 
bathe  the  feet  in  a  shallow  cold  water  foot-bath  every  evening  before  going 
to  bed. 

In  such  cases  it  is  customary  with  some  physicians  to  apply  ice,  sometimes 
in  a  bladder.  As  cold  water,  if  necessary,  made  cold  by  ice,  and  applied  to 
the  head  with  pieces  of  cloth,  will  afford  all  the  relief  that  can  be  expected 


CHAP.  I.  AFFECTIONS    OF   THE   HEAD.  101 

from  cold  applications,  it  is  just  as  absurd  to  expect  more  from  ice,  as  it 
would  be  to  attempt  to  cure  a  headache  that  is  relieved  by  pressure,  by 
knocking  the  patient  on  the  head  with  a  club.  No  patient  ought  to  allow 
his  physician  to  do  such  a  thing,  it  has  always  bad,  and  sometimes  dangerous 
results. 

Aconite  may  be  given  and  the  vinegar  discontinued,  when  the 
pain  is  very  severe,  with  a  burning  sensation  over  the  whole 
brain,  particularly  in  the  forehead;  the  face  red  and  bloated  ;  the 
eyes  red ;  when  the  pain  is  accompanied  by  talking  incoherently, 
or  raving.  If  there  should  be  but  little  or  no  improvement, 
Belladonna  may  be  given  in  alternation  with  the  Aconite. 

Belladonna  is  especially  indicated  when  the  pain  is  deeper 
seated,  is  oppressive  and  heavy,  and  the  face  pale  and  haggard, 
with  unconsciousness,  incoherent  talking,  murmuring,  drowsi- 
ness.    It  should  not  be  repeated  too  often. 

Pulsatilla  is  preferable  when  the  pain  is  dull,  oppressive,  on 
one  side  only,  very  harassing  and  weakening;  if  it  commences 
in  the  back  part  of  the  head  or  at  the  root  of  the  nose,  and  goes 
back  ;  is  mitigated  by  compression  or  by  lying  down;  is  worse 
when  sitting,  better  when  walking;  if  the  head  is  heavy,  the 
face  pale,  with  dizziness,  agitation,  inclination  to  cry. 

Rhus,  when  there  is  burning,  throbbing  pain,  with  fulness 
of  the  head,  oppressive  weight,  crawling,  or  a  sensation  as  if  a 
fluid  were  rolling  inside,  or  as  if  everything  were  loose,  and 
particularly  when  it  comes  on  after  meals. 

Glonoine  for  throbbing  headache  in  the  temples,  with  a  sense 
of  constriction  about  the  neck,  very  rapid  pulse,  and  when  the 
headache  is  increased  by  the  slightest  movement,  and  is  tran- 
siently relieved  by  the  application  of  cold  water. 

2.  Headache  from  causes  which  lie  in  the  blood. — If 
such  a  headache  makes  its  appearance  after  meals,  with  great 
drowsiness,  stiffness,  and  pains  in  the  back  of  the  neck,  the 
speech  being  thick,  or  the  face  distorted,  the  mouth  drawn  to 
one  side,  the  limbs  falling  asleep,  send  at  once  for  a  physician, 
and  until  his  arrival  give  Belladonna  or  Nux  vomica  ;  bathe  the 

10* 


102  TREATMENT  OF   DISEASES. 

feet  in  liot  water,  and  otherwise  treat  the  patient  as  recom- 
mended under  "Apoplexy." 

3.  Headache  caused  by  cataekh  is  mostly  in  the  forehead, 
oppressive,  burning,  better  in  the  morning,  worse  in  the  even- 
ing, the  eyes  full  of  tears,  sneezing,  dry  heat  in  the  nose,  frequent 
chills,  sometimes  a  little  cough  ;  in  this  case  it  is  advisable  to 
draw  warm  water  into  the  nose,  and  drink  cold  water  before 
going  to  bed. 

Aconite  should  be  given  for  this  kind  of  headache,  if  it  is 
better  in  the  air,  but  worse  when  talking. 

Cina^  if  it  is  worse  in  the  air,  when  reading  or  thinking,  if  it 
presses  like  a  load,  is  drawing  and  tearing,  the  nose  commences 
to  run,  or  itches  or  is  stopped  up ;  Arsenicum  if  there  is  running 
from  the  nose,  the  discharge  being  acrid,  burning,  if  it  causes 
hoarseness,  restlessness,  and  is  accompanied  by  buzzing  in  the 
ears,  throbbing  in  the  forehead,  nausea,  is  better  in  the  air  or 
in  a  warm  room.  Cepa  if  worse  at  night  and  in  the  room,  better 
in  the  open  air,  with  sparkling  before  the  eyes,  fulness  and 
heaviness  in  the  head,  particularly  in  the  back  of  the  head. 
For  other  remedies,  see  "  Catarrh." 

4.  Headache  FBOii  rheumatism. — Chamomilla  is  the  best 
remedy  for  rheumatic  pains  in  the  head,  especially  when  toe 
following  symptoms  are  present:  pains  of  a  tearing  and  di'awing 
character,  which  change  their  seat  frequently. 

If  Ohamomilla  fails  to  give  relief  in  a  few  honrs,  give  Pulsa- 
tilla in  the  morning  or  N^ux  vomica  in  the  evening ;  if  it  goes  to 
the  nape  of  the  neck,  the  ears  and  the  temples;  the  head  is 
painful  externally  when  touched  or  moved ;  worse  in  bed 
towards  midnight,  frequent  perspiration,  &c.  Frequent  bathing 
of  the  feet  in  warm  water,  combing  the  hair  in  the  evening,  and 
also  drawing  hot  vapor  of  water  into  the  nostrils,  is  sometimes 
of  service  ;  especially  when  small  swellings  appear  in  different 
parts,  or  when  vomiting  gives  relief. 

Ipecacuanha  will  be  of  service  when  the  pains  are  more  of  a 


CHAP.  I.  AFFECTIONS   OF   THE   HEAD.  103 

gouty  character,  (that  is,  the  gnawing  and  tear  ng  is  more 
intense)  and  are  relieved  by  heat  and  vomiting. 

Ignatia  when  but  little  relief  is  experienced  from  Ipecacuanha^ 
and  particularly  when  the  worst  pain  is  over  the  nose,  or  is 
digging,  piercing,  tearing,  deep  in  the  head,  and  better  when 
stooping  or  lying  down. 

Nux  vomica  when  there  are  shooting  pains  in  the  side  of  the 
head,  worse  in  the  air  or  when  stooping. 

Coloynthis  will  sometimes  relieve  rheumatic  pains  of  the 
severest  kind,  after  the  failure  of  other  remedies. 

Eelief  is  also  often  obtained  by  drinking  some  coffee  without 
milk. 

For  rheumatic  gout  in  the  head,  when  the  pains  are  tearing 
and  beating  all  over  the  head,  with  a  sensation  as  if  it  were 
coming  apart,  with  agitation,  restlessness,  tossing  about,  nausea, 
with  rising  of  wind  and  retching,  Ipecacuanha^  Nux  vomica  and 
Bryonia  will  sometimes  afford  speedy  relief. 

5.  Headache  from  disordered  stomach  and  bowels. — When  produced 
by  uiidigL'sted  food,  strong  coffee  without  milk  or  sugar  is  very  useful  ;  but  *f 
by  a  deranged  stomach,  give  the  remedies  recommended  under  that  head  ;  if 
the  bowels  are  constipated,  injections  of  warm  water  will  give  relief. 

The  symptoms  accompanying  this  kind  of  headache  are:  a  furred  tongue,  bad 
taste,  entire  loss  of  appetite,  nausea  or  vomiting,  coming  on  at  an  early  stage, 
and  increasing  with  the  pain.  If,  on  the  contrary,  the  headache  is  of  a  neu- 
ralgic character,  it  produces  nausea  and  vomiting  at  a  later  and  highly 
aggravated  stage.  If  headache  is  the  cause  of  the  sickness  of  the  stomach, 
give  the  remedies  for  headache;  but  if  the  disordered  stomach  is  the  cause  of 
the  headache,  give  the  remedies  for  disordered  stomach. 

6.  Headache  from  Constipation. — Nxix  vomica  will  be  indi- 
cated if  walking  or  moving  the  head  makes  the  brain  feel  sore, 
if  there  is  pressing  in  the  temples,  and  neither  sitting  up  nor 
lying  down  gives  relief;  when  the  eyes  are  dull  with  inclination 
to  shut  them,  and  sleeplessness  notwithstanding;  if  the  head 
feels  heavy,  particularly  when  moving  the  eyes ;  as  if  it  would 
burst  during  mental  application;  when  it  is  worse  in  the  morn- 
ing, in  the  open  air,  or  after  meals ;  and  particularly  after  coffee, 
or  when  there  is  a  loathing  of  coffee. 

Pulsatilla  when  the  pains  are  only  on  one  side,  with  little 


104  TREATMENT   OF   DISEASES. 

determination  of  blood,  with  shivering,  no  thirst,  when  the 
patient  is  of  a  mild  and  quiet  temperament,  inclined  to  weep 
and  is  agitated. 

Bryonia  when  the  head  feels  as  if  pressed  together  from  both 
sides  ;  and  when  on  stooping,  as  if  everything  would  fall  out  of 
the  forehead  ;  when  the  nose  bleeds,  without  aflbrding  relief; 
when  the  eyes  water  and  burn. 

Opium  if  the  pain  is  violent,  with  a  tearing,  bursting  sensa- 
tion in  the  ft)rehead,  visible  throbbings  in  the  temples,  con- 
siderable congestion  of  blood,  restlessness  of  the  eyes,  much 
thirst,  dryness  of  the  mouth,  sour  eructations,  inclination  to 
vomit,  and  even  foul  and  offensive  vomiting. 

Mercurius  will  frequently  suit,  when  the  head  seems  full  to 
bursting,  as  if  tied  with  a  bandage,  worse  at  night,  tearing, 
burning,  boring,  shooting  pain. 

Ipecacuanha  if  nausea  commences  with  the  headache,  if  every 
part  of  the  head  to  the  very  tongue  feels  as  if  bruised,  if  there 
is  vomiting  or  retching.  Veratrum  or  Lycopodiuni,  will  be 
beneficial  if  continued  costiveness  occasions  a  determination  of 
blood  to  the  head,  with  pains  on  one  side,  oppressive  throbling 
as  if  the  brain  were  bruised,  with  a  strangling  sensation  in  the 
throat,  or  with  stomach-ache,  with  painful  stiffness  in  the  neck, 
frequent  emission  of  pale  colored  urine,  nausea  and  vomiting. 

7.  Sick  Headache. — Sanguinaria  will  give  relief  if  the  pain 
comes  on  periodically,  or  if  it  begins  in  the  morning  and  lasts 
till  night,  with  a  fulness  of  the  head,  as  if  it  would  split,  or  as 
if  the  eyes  were  pressed  outwards ;  or  if  there  is  a  shooting, 
stinging,  beating  pain  throughout  the  head,  but  more  in  the 
forehead  and  worse  on  the  right  side,  attended  with  chills,  nau- 
sea, vomiting,  inclination  to  lie  down,  and  if  the  symptoms  are 
made  worse  by  motion. 

Belladonna  is  the  next  best  remedy,  when  the  pains  are  worse 
on  the  right  side,  when  the  external  part  of  the  head  is  very 
sensitive,  the  veins  of  the  head  and  hands  being  swelled, — pain- 
ful waving  in  the  head,  buzzing  in  the  ears  and  dimness  of  the 


CHAP.  I.  AFFECTIONS   OF   THE   HEAD.  105 

eyes.  It  is  likewise  beneficial  in  the  Avorst  pains,  extending  to 
the  eyes  and  nose,  on  one  side  of  the  head,  with  a  pressing, 
cleaving,  rolling  sensation,  augmented  by  every  motion,  by 
turning  the  eyes,  by  a  bright  light,  by  every  noise,  the  sound 
of  steps,  in  fact  at  every  concussion ;  when  there  is  a  jolting 
sensation  in  the  head  and  forehead  at  every  step,  or  on  going 
up  stairs ;  also  when  the  pain  returns  every  afternoon,  and  con- 
tinues till  after  midnight,  aggravated  by  the  warmth  of  the  bed, 
or  on  lying  down;  worse  when  in  a  draught.  Also,  in  pains 
which  commence  like  a  breath,  changing  to  an  acute  pain,  seiz- 
ing half  the  head ;  sometimes  piercing  momentarily,  but  so 
penetrating  as  to  deprive  the  sufferer  of  his  senses. 

Aconite  will  often  remove  such  pains  on  the  left  side,  and  if  it  is 
not  entirely  gone,  an  hour  after  having  given  Aconite,  give  Sulphur 
or  Silicea,  with  which  the  symptoms  may  be  conipared  under 
the  head  of  "  Nervous  Headache." 

Apium  virus  is  best,  if  the  head  feels  too  full  and  too  large, 
with  heaviness  and  pressure  in  it,  especially  when  rising  from  a 
sitting  or  lying  position,  always  increased  in  a  warm  room, 
easier  by  its  being  squeezed  with  both  hands ;  also,  if  the  eyes 
are  effected ;  at  night,  chilliness  from  every  slight  movement, 
face  and  hands  hot;  if  accompanied  by  nettle-rash,  with  boring, 
piercing  jerks,  or  if  the  rash  had  suddenly  disappeared,  or  if 
different  parts  of  the  patient's  body  are  very  sensitive  to  the 
touch. 

Spjigelia  is  suitable  in  the  worst  pains  on  the  left  side,  if  they 
are  attended  with  an  insupportable  beating  in  the  temple,  and 
with  pain  in  the  whole  left  side  of  the  head,  and  sometimes  pain 
in  the  face  and  teeth,  increasing  as  the  sun  mounts  in  the  sky, 
or  augmented  by  stooping  and  motion  in  the  open  air,  with  the 
greatest  sensibility  to  the  least  noise,  and  if  attended  with  a 
fetid  odor  from  the  mouth. 

In  selecting  a  remedy  the  following  indications  may  be  takeu 
as  a  guide : 

Belladonna,  if  the  pain  is  accompanied  with  great  sensitive- 
ness U  the  light. 


106  TREATMENT   OF   DISEASES. 

Spigelia,  if  the  pain  is  accompanied  with  gmat  sensitiveness 
to  noise. 

Sanguinaria,  if  the  pain  is  accompanied  with  great  sensitive- 
ness to  the  walking  of  others  in  the  room. 

Sulphur  or  Aconite^  if  the  pain  is  accompanied  with  great 
sensitiveness  to  all  kinds  of  odor. 

8.  Nervous  Hradache. — The  head  is  generally  cool,  the  face  pale,  in  the 
begiiming  the  patient  sometimes  discharges  a  colorless  urine;  vomiting givfs 
relief;  the  headache,  however,  returns  frequently  on  one  side  only,  or  is 
boring,  as  if  produceil  by  a  nail,  on  particular  spots ;  touching  the  head  in- 
creases the  pain.  Lying  down  quietly  in  a  dark  room  mitigates  the  pain 
during  the  paroxysms  ;  it  may  be  prevented  by  frequent  washing  in  cold  water, 
by  rubbing  and  brushing  the  skin,  and  by  using  the  medicines  indicated  below. 
Drinking  coffee  is  so  injurious  in  this  kind  of  headache,  even  if  it  should  give 
relief  during  the  attack,  that  the  patient  must  abstain  from  it  entirely. 

Goffea  will  give  relief  in  violent,  drawing,  pressing  pains  on 
one  side  of  the  head,  as  if  a  nail  were  driven  into  it ;  or,  as  if 
the  brain  were  shattered,  crushed  and  torn,  recurring  on  the 
slightest  occasion,  after  close  thinking,  vexation,  taking  cold, 
eating  too  much,  &c.,  with  a  distaste  for  coffee,  sensitiveness  to 
the  least  noise,  even  music ;  the  pains  appear  intolerable,  making 
the  patient  fretful;  he  is  almost  beside  himself,  shrieks  and 
cries,  tosses  about,  feels  much  agitated,  dreads  the  fresh  air,  and 
is  chilly.  It  maj  be  followed  by  Nux  vomica  or  China,  and 
sometimes  Ignatia  and  Pulsatilla. 

Aconite  often  proves  efficacious  when  the  pains  are  most  vio- 
lent;  when  the  patient  lies  unconscious,  with  retching,  crying, 
and  lamenting,  and  apprehension  of  death;  the  least  noise  or 
motion  is  intolerable;  the  pulse  very  weak  and  small,  stopping 
at  intervals  ;  particularly  when  the  pain  is  throbbing,  shooting, 
or  like  cramp  over  the  nose,  aggravated  by  the  reading  and 
speaking  of  others;  also  in  headache  from  cold,  with  catarrh, 
buzzing  in  the  ears  and  pains  in  the  abdomen;  also  with  the 
disagreeable  sensation  as  if  a  ball  were  rising  up  into  the  head» 
producing  a  sensation  as  of  cool  air. 

Ignatia  will  relieve  a  pressing  pain  above  the  nose,  which  is 
mitigated  by  bending  forward  ;  pressing  outwards  from  vrif,hin, 
shooting  and   throbbing;  tearing  in  the  forehead,  as  jf  a  nail 


CHAP.  I.  AFFECTIONS   OF   THE   HEAD.  107 

were  driven  through  the  head,  piercing  deep  into  the  Drain  ; 
with  nausea,  darkness  before  the  eyes,  aversion  to  ligut,  pale 
face,  plenty  of  colorless  urine ;  the  pains  often  cease  for  a  time 
when  the  position  is  changed,  and  frequently  return  after  meals, 
at  night  after  lying  down,  in  the  morning  after  getting  up ;  the 
patient  being  very  nervous,  fickle-minded,  taciturn  and  dejected. 

Aconite  may  be  given  for  the  symptoms  mentioned  after  Bel- 
ladonna, under  the  head  of  "Sick  Headache,"  and  \^  Aconite  has 
not  a  good  effect,  give,  some  hours  afterwards,  Belladonna,  and 
leave  it  to  act  at  least  from  six  to  twelve  hours  ;  if  the  sensation 
then  continues,  as  if  there  were  water  in  the  forehead,  and  does 
not  gradually  disperse,  Platinum  may  afford  relief,  particularly 
when  there  is  a  sensation  of  coldness  in  the  ears,  the  eyes,  on 
one  side  of  the  face,  and  about  the  mouth ;  or  if  everything 
trembles  and  flickers  before  the  eyes,  and  objects  appear  smaller 
than  usual.  You  may  also  give  Mercurius  when  Belladonna  has 
ceased  to  operate,  or  when  the  pain  shoots  down  into  the  teeth 
and  neck ;  acute  pains  in  the  ears,  only  on  the  left  side ;  or 
when  always  very  violent  at  night,  with  perspiration,  which 
affords  no  relief.  After  Mercurius  or  Belladonna,  sometimes 
Hepar  is  suitable,  especially  when  the  pain  is  as  if  a  nail  were 
driven  into  the  head,  with  violent,  rending  pains  during  the 
night,  as  if  the  forehead  would  burst,  and  when  painful  lumps 
appear  on  the  head. 

Veratmm  is  frequently  of  use  in  nervous  headache;  when 
there  is  painful  sensitiveness  of  the  hair  ;  when  accompanied  by 
diarrhoea,  and  the  pains  are  so  severe  that  the-  patient  almost 
loses  his  reason,  becomes  very  weak  and  faint,  is  worse  on  get- 
ting up  and  when  lying  in  bed,  with  cold  perspiration,  chills 
and  thirst.  For  other  symptoms  see  Veratrum,  under  "  Headache 
from  Constipation." 

Pulsatilla  will  remove  the  tearing  pains,  which  grow  worse 
in  the  evening,  or  are  throbbing  and  tingling,  after  rising  in  the 
morning,  and  in  the  evening  after  lying  down  ;  with  jerking, 
shooting,  tearing  in  the  temples,  particularly  when  the  pain  is 
confined  to  one  side  of  the  head,  and  is  accompanied  by  fi-equeut 


108  TREATMENT   OF   DISEASES. 

giddiness,  sickness  of  the  stomach,  heaviness  of  the  head,  dim- 
ness of  the  eyes,  which  cannot  bear  the  light;  buzzing  in  the 
ears,  or  shooting,  jerking,  and  tearing  ;  pale,  distressed  counte- 
nance, no  appetite,  no  thirst;  chilliness  and  agitation,  with 
occasional  bleeding  at  the  nose,  and  palpitation  of  the  heart ; 
when  all  the  symptoms  are  worse  when  at  rest  or  sitting,  and 
become  better  in  the  fresh  air ;  when  the  headache  is  relieved 
by  ])ressure  or  a  tight  bandage.  It  answers  best  with  mild, 
phlegmatic  persons. 

Bryonia  is  good  for  burning  and  oppressive  pains  in  the  head, 
or  when,  while  stooping,  it  seems  as  if  something  Avere  about 
to  fall  out  of  the  forehead  ;  worse  when  walking ;  or  more 
external  tearing,  extending  to  the  face  and  temples,  or  pressing, 
boring,  rending  in  particular  spots,  especially  with  persons  suf- 
fering from  rheumatism,  and  of  petulant,  passionate  temper, 
Rhus  will  frequently  be  found  of  service  after  Bryonia 

Nux  moschata,  if  the  brain  feels  loose  and  wabbling  when 
shaking  the  head ;  worse  after  every  meal,  particularly  after 
breakfast;  with  sleepiness;  if  one  cannot  bear  any  pressure  on 
the  temples;  if  the  pain  goes  from  right  to  left;  if  better  from 
warmth ;  worse  from  cold,  particularly  from  wet,  cold  weather ; 
and  for  sensitive,  inconstant  people. 

N^ux  vomica,  as  before  mentioned,  is  suitable  for  headache 
from  constipation  and  coffee  drinking;  also  when  the  pain 
resembles  the  piercing  of  a  nail,  or  stinging  jerks,  with  nausea 
and  sour  vomiting ;  when  there  is  a  shooting  and  oppressive 
sensation  on  one  side,  beginning  early  in  the  morning,  and  grow 
ing  worse  and  worse,  until  the  patient  is  distracted  and  well  nigh 
delirious ;  when  the  brain  feels  as  if  rent  asunder,  and  the  face 
becomes  pale  and  dejected,  the  head  heavy,  with  a  buzzing 
noise  and  giddiness  when  walking;  worse  when  moving  the 
eyes,  in  the  air,  early  in  the  morning,  after  meals,  or  when 
stooping;  also,  when  the  head  is  externally  painful,  and  worse 
in  cold  weather. 

Chamomilla  relieves  pains  in  the  head  which  are  caused  bv  a 
cold,  or  by  drinking  coffee,  when  there  is  a  rending  or  drawing 


CHAP.  I.  AFFECTIONS   OF  THE   HEAD.  109 

pain  on  one  side,  extending  to  the  jaw ;  acute,  shooting  pains 
in  the  temples,  heaviness  over  the  nose,  or  very  troublesome 
throbbing;  particularly  when  one  cheek  is  red  and  the  other 
pale,  or  the  whole  face  bloated;  when  the  eyes  are  painful 
attended  by  a  sore  throat  or  cold  in  the  chest,  or  a  bitter,  offen- 
sive taste.  It  is  useful  for  children,  and  for  persons  unable  to 
bear  the  least  pain,  and  quite  unmanageable. 

China  is  most  suitable  for  sensitive  persons,  and  when  the 
pain  is  oppressive,  and  prevents  them  from  sleeping  at  night,  or 
when  there  is  tearing  in  the  temples,  as  if  the  head  were  burst- 
ing ;  boring  in  the  top  of  the  head  whilst  the  brain  feels  as  if 
bruised  ;  jerking,  and  rending,  and  rolling,  and  bursting;  worse 
when  walking,  at  every  motion,  and  on  opening  the  eyes ; 
relieved  by  lying  down  and  being  quiet;  the  skin  is  tender  to 
the  touch.  For  discontented  persons;  stubborn,  disobedient 
children,  who  are  fond  of  dainties,  and  have  a  pale  complexion, 
red  and  hot  only  at  times ;  when  they  become  very  talkative, 
or  are  restless  the  whole  night.     It  often  suits  after  Coffea. 

Antimonium  crudum  may  be  given  for  nervous  headache 
resulting  from  a  disordered  stomach  or  cold,  or  when  an  erup- 
tion has  been  driven  in,  and  pains  ensue ;  particularly  when 
they  are  in  the  bones ;  for  dull  boring  pains  in  the  temples  and 
forehead,  also  rending  and  tearing;  the  pains  are  relieved  in 
the  open  air,  aggravated  by  going  up  stairs.  It  answers  well 
after  Pulsatilla^  when  the  disorder  of  the  stomach  is  obstinate, 
or  when  the  headache  causes  the  hair  to  fall  out. 

Colocynthis  is  efficacious  in  the  most  excruciating  headache, 
furiously  tearing  or  when  the  pain  is  on  one  side,  tearing, 
oppressive,  squeezing;  pressing  in  the  forehead,  aggravated  by 
stooping  and  lying  on  the  back ;  in  attacks  coming  every  after- 
noon or  towards  evening,  on  the  left  side,  with  great  restlessness 
and  agitation;  particularly  when  the  perspiration  smells  like 
urine,  with  small  or  offensive  discharges  of  urine;  while  during 
the  pain,  the  discharge  of  urine  is. considerable  and  very  clear. 

Capsicum^  against  throbbing  headache,  or  that  which  is  dis- 
tending, bursting,  pressing  outwards,  worse  when  walking  or 

11 


110  TREATMENT   OF   DISEASES. 

moving;  tingling,  tearing  when  at  rest;  when  moving  the  head 
or  eyes  and  stooping  aggravate  it,  also  worse  in  the  air  and 
cold ;  with  phlegmatic  sluggish  persons,  who  easily  take  offence, 
or  with  children  who  are  very  refractory,  clumsy  and  awkwai'd  ; 
particularly  such  as  are  afraid  of  the  air  and  of  exercise,  and 
are  chilly,  especially  after  drinking. 

"When  the  above  medicines  do  not  afford  relief,  try  the  followinj^ : 

Sitlp/ntr  for  throbbing,  tearing  pains,  with  heat,  principally  in  the  morning 
and  evening  ;  with  nau?ea,  worse  in  the  air,  better  within  doors  ;  tearing,  with 
a  stunning  sensation  and  pressure  ;  it  returns  weekly;  loss  of  hair  after  sup- 
pressed cutaneous  eruptions,  ulcers,  or  perspiration. 

Arsenicum  for  the  same  kind  of  pains,  if  worse  within  doors  and  better  in 
the  open  air. 

Silicea  also,  for  beating,  throbbing  pains,  with  heat  and  deterrpination  of 
blood  to  the  head  ;  when  caused  by  exertion,  speaking  or  stooping,  with 
nightly  pains  from  the  neck  to  the  top  of  the  head  ;  for  tearing  pajn  every 
forenoon  ;  when  everything  has  a  tendency  towards  the  forehead  and  eyes ;  when 
swellings  appear  on  the  head,  the  hair  comes  out,  the  skin  is  very  tender,  the 
pain  extending  to  the  nose  or  face,  with  perspiration  of  the  head. 

Violent  headache,  with  great  weakness,  indifference  and  despondency  often 
indicates  the  approach  of  a  serious  disease  which  may  be  prevented  either  by 
Veratrum,  Arsenicum  ;  or  Phosphoric  acid. 

9.  Headache  caused  by  suppression  of  rheumatism,  gout,  eruptions,  etc. 
When  rheumatism,  gout,  erysipelas,  eruptions  or  ulcers  have  been  suppressed,  a 
dangerous  headache  frequently  follows,  which  ought  not  to  be  neglected.  Give 
remedies  recommended  in  these  complaints  ;  and  examine,  at  the  same  time, 
what  has  been  said  in  the  preceding  pages  relative  to  medicine  for  headache. 

If,  in  consequence  of  the  suppression  of  the  eruption  in  scarlet  fever,  ery- 
sipelas, measles,  &c.,  pains  in  the  head  ensue,  which,  by  degrees,  make  the 
patient  unconscious,  or  if  these  symptoms  occur  in  fever  attendant  on  a  cold 
in  the  head,  or  when  a  cold  in  the  head  has  been  suppressed,  or  from  difficult 
dentition  in  children— there  is  no  time  to  be  lost. 

Take  Cuprum  metallicum,  dissolve  as  much  of  it  as  will  lie  on 
the  end  of  a  penknife  in  a  tumbler  of  water,  and  of  this  solution 
give  to  adults  a  dessert-spoonful,  to  children  a  small  teaspoonful, 
every  quarter  or  half  hour;  if  followed  by  improvement, 
lengthen  the  interval.  In  all  such  cases,  however,  endeavor  to 
procure  a  homceopathic  practitioner,  if  possible. 

When  the  pain  is  seated  deep  in  the  sockets  of  the  eyes, 
acute  shooting  pain  through  the  brain,  accompanied  by  weak- 
ness of  the  eyes,  it  is  a  symptom  of  approaching  blindness.  If 
neither  Belladonna  nor  Sulphur  give  relief,  apply  without  delay 
to  a  homoeopathic  physician. 

When  a  pain  always  re-appears  in  the  same  spot,  deep  in  the  brain,  and 


CHAP.  I.         AFFECTIONS  OF  THE  HEAD.  Ill 

there  is  on  the  other  side  of  the  body  lameness,  crawling,  jerking,  or  similar 
symptoms,  it  can  scarcely  be  cured — but  you  may  apply  to  a  physician. 

When  aged  persons  have  continual  headache,  and  at  the  same  time  dis- 
charge but  little  urine,  which  is  thick,  turbid  and  offensive,  it  forbodes  nothing 
good.  They  must  drink  freely  of  water,  brush  the  skin  well,  and  apply  to  a 
physician. 

For  scald  head,  eruptions  in  the  face,  &c.,  see  "Eruptions." 

Losing  the  Hair. 

When  the  hair  comes  out,  but  is  immediately  replaced  by  a  new  growth, 
no  other  medicine  is  required  than  frequent  washing,  brushing,  and  combing; 
but  if  it  becomes  thinner  have  it  cut  a  little  once  a  month,  when  the  moon  ig 
increasing.  AVashing  the  head  frequently  in  cold  water,  particularly  in  the 
evening,  and  afterwards  binding  a  handkerchief  around  the  head,  will  be  of 
service  when  the  hair  is  getting  thin.  If  the  hair  is  too  dry,  oil,  grease,  oint- 
ment and  pomatum  are  injurious;  washing  once  a  week  with  fine  soap  is  much 
better;  if  that  should  not  answer,  boil  wheat  bran,  strain  it,  and  wash  the 
head  once  a  week  with  the  decoction. 

A  thin  lye  made  from  the  ashes  of  beech  wood,  is  efficacious  in  some  instances 
where  the  hair  is  drj',  or  where  there  is  dandruff  either  loose  or  adhering  very 
closely.  It  may  be  used  by  dipping  a  fine  tooth-comb  or  a  sponge  into  it, 
Icleansing  the  head  afterwards  with  cold  water.  W^hen  the  hair  splits,  it  may 
be  advisable  to  use  a  little  grease  or  oil — bear's  grease  is  best — and  to  trim 
the  ends  every  other  day  as  long  as  the  moon  is  increasing.  When  single 
bald  spots  appear,  it  may  at  times  be  serviceable  to  shave  them  and  part  of 
the  surrounding  hair  ;  if  this  does  not  succeed  after  a  fortnight's  trial,  rub  the 
spot  once  a  week  with  a  sliced  onion  in  the  evening,  or  with  the  pomatum 
mentioned  below.  When  persons  become  bald  after  severe  illness,  washing 
the  head  morning  and  evening  with  pure  spring  water  is  very  serviceable.  If 
the  baldness  is  hereditary,  all  attempts  at  preserving  the  hair  are  often 
,  useless. 

When  baldness  appears  early  in  life,  the  following  pomatum  is  very  useful ; 
melt  the  marrow  out  of  beef  bones  by  the  fire,  put  a  single  drop  of  tincture 
of  cantharides  into  a  saucer,  mix  gradually  as  much  marrow  with  it  as  will 
'till  the  saucer,  stirring  and  beating  it  up  all  the  time  ;  with  this  mixture  rub 
the  bald  spots  once  every  third  or  fourth  evening. 

[  If  the  hair  falls  out  from  debilitating  causes,  give  China,  and  afterwards 
\Fern(iii.  Also,  for  clammy  perspiration  in  the  hair,  CA/wa  is  sometimes  of 
[service.  If  the  hair  falls  out  in  consequence  of  profuse  perspiration,  Mercnrius 
'maybe  given.  After  the  use  of  quinine  or  bark,  give  Belladonna;  after 
;  mercury, //cj'""'  ov  Carho  vegeiabilis ;  after  much  grief  and  trouble,  Siaphis- 
\ayria  or  Flidspluiricacid. 

j  After  inflammatory  diseases  and  nervous  fevers,  Htpar,  Calcarea,  Silicea  or 
^Lyc'i/.'oilhnn ;  in  chronic  headache  of  a  hysterical  or  gouty  kind,  if  the  cover- 
ings of  the  head  cause  great  soreness,  Hepar ;  in  frequent  headache  arising  from 
Ichronic  affections  of  the  stomach  and  bowels,  Lyropodinm,  which  is  also  bene- 
jficiul  when  the  headache  is  attended  with  itching,  and  where  there  is  much 
(dandruff. 

!  if  all  these  remedies  fail  to  prevent  the  loss  of  hair,  take  one  drop  of  laurel 
joil,  or  oil  of  bitter  almonds,  and  mix  it  gradually  with  two  tablespoonfuls  of 
|beef's  marrow,  melted  over  the  fire,  or  still  better  with  oil  of  sweet  almonds. 
iOf  this  pomatum  take  very  little  on  your  fingers  and  pass  them  through  the 
'hair.  Women  are  liable  to  lose  their  hair  either  from  keeping  it  untied  at 
jUight,  cr  from  tying  it  too  tightly. 


112  TREATMENT   OF   DISEASES. 

CHAPTER    II. 

DISEASES    OP    THE    EYES 

General  Remarks. 

Am,  kinds  of  eye-water,  salves  and  ointments  injure  the  eyes :  almost  all 
of  them  contain  more  or  less  strong  poison,  and  if  they  accidentally  cure  Oiie 
disease,  in  most  cases  a  ne\A-  and  worse  complaint  makes  its  appearan^,e, 
sooner  or  later.  Whoever  values  his  eyes  oui^ht  to  shun  these  poisonous 
and  utterly  useless  things  ;  simple  remedies  internally  taken,  will  generally 
eff'ect  a  cure — i)articularly  when  the  eyes  have  not  been  injured  by  quackery. 

Pure  cold  water,  as  an  external  remedy,  is  the  only  wholesome  eye-water; 
it  does  good  in  many  cases  when  the  eyes  are  painful,  red,  and  burning,  when 
there  is  cough  or  catarrh ;  also  in  chronic  affections  of  the  eyes,  with  great 
aversion  to  light — growing  worse  on  the  slightest  exposure — particularly  to 
cold  winds,  or  cold  wet  weather.  It  may  be  used  by  washing  tb ?  eyes  fre- 
quently, or  by  applying  cloths  or  pieces  of  bread  which  have  been  wet  with 
it.  In  all  cases  when  the  patient  cannot  bear  cold  water,  or  wlien  it  proves 
useless,  and  when  not  merely  burning,  and  a  sensation  as  if  there  was  sand  in 
them,  accompanied  by  intolerance  of  light,  but  when  there  are  also  violent 
pains  and  a  discharge  of  acrid  tears,  lukewarm  water  will  be  preferable, 
applied  either  on  a  linen  rag  or  with  bread  which  has  been  soaked  in  it, 
renewing  the  application  whenever  the  pain  increases.  When  the  eyes  are 
very  dry,  and  the  eyelids  close  spasmodically,  fresh  olive  oil  is  very  useful. 

When  erysipelas  affects  the  eyes,  which  is  known  by  the  redness  which 
spreads  far  around  them,  nothing  wet  should  be  applied,  but  instead,  warm 
bags,  tilled  with  bran  or  cotton  wool. 

VVhen  a  salve  is  insisted  upon,  take  the  white  of  a  fresh  egg,  beat  it  with  a 
teaspoonful  of  the  finest  loaf  sugar  and  a  little  camphor  to  a  froth,  and  put  it 
on  the  eye.  '1  he  most  rapid  cure,  however,  can  be  effected  by  the  following 
remedies,  dispensing  with  the  camphor  salve. 

Inflammation  and  swelling  of  the  Eyelid. 

The  eyelids  are  sometimes  red,  inflamed  and  swelled,  when  the 
eye-balls  are  not  affected.  For  red,  hard  swelling,  with  burning 
heat  and  dryness,  give  Aconite ;  if  it  has  a  good  but  merely 
temporary  effect,  repeat  it;  if  the  eyelids  are  pale,  or  yellowish- 
red,  swelled,  shining  as  if  transparent,  burning,  with  tension, 
and  copious  secretion  in  the  eyes  and  nose,  and  perhaps  fever, 
Aconite  is  also  the  first  medicine:  if  not  completely  cured  in  a 
couple  of  days,  give  Apium  virus,  which  is  particularly  suitable 
for  every  watery  swelling,  like  erysipelas,  around  the  eyes; 
eyelids  swollen  and  sticking  together;  with  a  feeling  of  much  . 


CHAP.  ir.  AFFECTIONS   OF   THE   EYES.  113 

matter  in  the  eyes;  much  itching,  burning  and  piercing  pain; 
in  case  the  pressing  pain  remains,  or  the  lids  feel  sore,  Hepar. 

When  the  swelling  is  bad,  and  the  lids  are  much  inflamed 
and  continue  red  and  hot,  and  there  is  a  purulent  secretion, 
Sulphur  is  preTerable  to  Kepar^  particularly  if  the  eyes  are  con 
tracted  in  the  morning  and  the  patient  cannot  endure  the  light. 

If  no  immediate  improvement  takes  place,  repeat  the 
Aconite,  which  will  then  have  more  effect.  If  Hepar  has  been 
given  without  producing  any  effect,  particularly  when  the  eye- 
lids burn  and  irch,  and  are  swelled  and  red — when  they  stick 
together  and  bleed  when  opened — when  the  edge  is  turned 
inside  out,  or  is  heavy  and  feels  as  if  paralysed,  give  Belladonna. 

When  the  eyelids  are  inflamed  inside,  red  and  painful,  burning 
violently,  and  the  eyes  can  scarcely  be  opened,  give  Arsenicum, 
but  if  they  appear  as  if  forcibly  contracted,  are  swelled,  difficult 
to  open,  and  the  pain  is  more  acute,  with  ulcers  on  the  edges, 
and  scabs  on  the  outside,  give  Mercurius ;  and  should  it  not 
produce  a  fivorable  change,  Hepar. 

Rhus  is  particularly  efficacious  in  inflammation  of  the  inner 
surface  of  the  eyelids — which  occurs  in  infants,  and  also  in  older 
children — when  the  ej^elids  are  contracted  as  if  by  spasm,  and 
when  forced  asunder,  a.  thick,  red  swelling  appears,  and  a 
secretion  of  mucus  of  a  yellow  color,  and  resembling  pus,  is 
discharged. 

Euphrasia  is  beneficial  in  the  ordinary  cases  of  chronic  inflam- 
mation of  the  eyelids,  which  itch  in  the  day  time  and  stick 
together  at  night,  are  red  and  somewhat  swelled,  the  edges 
ulcerated,  wet  and  purulent,  with  winking,  dread  of  light,  con- 
stant catarrh,  accompanied  sometimes  by  a  severe  headache  and 
by  heat  in  the  head. 

Kux  vomica  when  the  edges  of  the  lids  burn  and  itch,  feeling 
very  sore  when  touched,  and  adhere  towards  morning.  Nux 
vomica  may  be  used  with  advantage  after  Euphrasia,  and  Pul- 
satilla after  Nux  vomica. 

Mercurius  should  be  given  when  the  lids  turn  outwards,  and 
tliere  is  pricking,  burning  and  itching,  or  when  there  is  no 
i  11* 


114  TREATMENT   OF   DISEASES. 

pain.  It  may  be  followed,  if  necessary,  by  Hepar  or  Bella- 
donna. 

If  these  remedies  fail,  and  the  lids  are  quite  red,  with  some 
mucus  in  the  corners  of  the  eyes,  the  eyes  sensitive  to  the  light, 
and  a  pricking  pain  in  them,  give  Antimonium  crud.  "W  hen  the 
lids  burn  and  smart  when  reading,  and  Sulphur  affords  partial 
relief,  let  the  patient  take  Calcarea  ;  when  there  is  a  sense  of 
crawling  on  the  inside  of  the  lid,  increased  in  the  evening  with 
running  of  tears,  China. 

Biting,  itching  and  stiffness  in  the  lids,  as  if  paralj^sed,  give 
Rhus;  convulsive  contraction  and  closing,  Hyoscyamus ;  the 
upper  lids  feeling  as  heavy  as  lead,  give  Ghamomilla ;  con- 
siderable dryness,  running  of  tears,  with  difficulty  of  motion 
and  heat,  give  Veratrum. 

Stye  on  the  Eyelid. 

A  stye  on  the  eyelid  may  generally  be  cured  by  Pulsatilla^ 
and  often  disappears  soon  after  taking  it.  If  much  inflamed  and 
painful,  Hepar^  afterwards  Silicea,  and  repeat  this  as  soon  as 
there  is  the  slighest  sign  of  its  appearing  again.  Sometimes  it 
may  be  removed  by  touching  it  with  a  cold  key.  Cold  water 
is  injurious;  a  warm  poultice  of  bread  and  millc  left  on  during 
the  night  is  better.  If  they  appear  often,  or  leave  hard  lumps 
behind,  or  do  not  open,  but  become  indurated,  particularly  when 
the  eyes  are  apt  to  close  with  suppuration,  Avith  biting  and  burn- 
ing in  the  corners,  where  dry  pus  forms  constantly,  give  Sta- 
phisagria ;  sliould  induration  remain,  give,  after  a  week  or  two, 
Calcarea  once. 

Inflammation  of  the  Eyes. 

In  inflammation  of  the  eyes,  or  sore  e3^cs,  when  not  only  the  lie 
but  the  eye  itself  is  affected,  or  the  latter  alone. 

Aconite   is  generally  the  best  remedy,  particularly  when  the 
complaint  comes  on  suddenly,  and  increases  rapidly — when  the] 
whole  eye  is  red,  or  full  of  red  veins,  runs  much,  and  is  very] 
painful. 


CHAP.  II.  AFFECTIONS   OF   THE   EYES.  115 

Crocus,  if  there  is  itching,  pressing,  burning  and  soreness  of 
the  eyes  and  lids  ;  thougli  the  burning  is  worse  when  the  patient 
shuts  the  eyes,  he  is  forced  to  wink  and  close  the  eyes  often  ; 
if  the  eyes  loolc  swollen,  as  after  much  weeping,  with  dryness; 
if  the  lids  stick  together  in  the  night,  and  there  are  frequent 
twitchings  and  jerkings  in  them  during  the  day. 

Apium  virus,  if  the  jerking  and  twitching  is  in  the  eye-balls. 
Also  for  inflammation  of  the  eyes,  with  a  piercing  and  boring 
pain  in  the  head,  that  shoots  towards  the  eyes;  with  great  dread 
of  light;  with  pricking,  boring,  itching  pains  in  the  running, 
red  eyes. 

When  the  eyes  are  sore  from  a  cold,  with  catarrh,  headache, 
cough,  sore  throat,  &c.,  the  following  remedies  will  be  useful : 

Nux  vomica,  when  the  corners  of  the  lids  are  more  red  than 
the  eyes,  or  the  latter  are  bloodshot  and  smart  as  if  there  was 
salt  in  them — when  they  burn  with  a  feeling. as  if  there  were 
sand  in  them,  and  there  is  increased  secretion  of  tears — the  pa- 
tient cannot  bear  the  light,  particularly  in  the  morning;  these 
symptoms  are  usually  combined  with  fever,  which  is  worse  in 
the  morning  and  evening. 

Chamomilla,  particularly  for  children,  when  there  is  pricking, 
pressing,  burning  in  the  eyes,  as  if  heat  were  radiating  from 
them ;  they  are  swelled  and  closed  in  the  morning,  or  very  dry, 
the  patient  being  much  irritated  by  the  pain. 

Belladonna,  when  the  white  of  the  eye  is  quite  red,  or  large 
red  veins  can  be  seen ;  much  heat,  a  discharge  of  sharp,  burn- 
ing tears,  or  the  eyes  are  quite  dry,  and  much  affected  by  the 
light — when  the  pains  are  spasmodic  or  deep-seated,  accom- 
panied by  a  catarrh  so  severe  as  to  make  the  nose  sore  ;  pimples 
coming  out  about  the  nose  and  mouth,  a  short,  Arj,  panting  and 
spasmodic  cough,  coming  on  in  fits  which  last  for  some  time. 

Belladonna  also  is  useful  when  the  sight  has  suffered,  or 
flickering,  sparkling  and  dimness  remain. 

Euphrasia,  when  there  is  much  aching  in  the  eyes ;  increased 
secretion  of  mucus  and  acrid  tears ;  when  the  lids  are  contracted. 


116  TREATMENT   OF   DISEASES. 

and  the  eye  is  very  red;  accompanied  with  bad  headache  and 
catarrh  in  the  evening. 

Cfepa,  if  there  is  much  running  of  tears;  redness,  itching, 
pricking,  burning  in  the  eyes:  swelling  around  the  eyes,  with 
running  of  the  nose,  and  headache  as  stated  before. 

Ignatia,  when  the  pain  is  very  severe,  with  slight  redness, 
severe  pressing,  profuse  discharge  of  tears,  great  dread  of  the 
light,  catarrh  very  bad  and  running. 

K  Nux  vomica  had  not  been  given  before,  it  is  o^ten  indicated 
after  other  remedies,  particularly  if  great  sensibility  has  re- 
mained. 

Rheumatic  Inflammation  of  the  Eyes. 

For  rJieumatic  inflammation  of  the  eyes,  the  eye  itself  being 
red,  the  light  insufferable,  much  discharge  of  acrid  tears,  prick- 
ing, tearing  pains,  not  only  inside,  but  also  around  the  eyes, 
always  worse  in  the  heat,  the  following  remedies  are  recom- 
mended :  • 

Pulsatilla,  after  the  worst  inflammation  has  been  removed  by 
Aconite,  but  there  are  still  severe  pains  remaining,  of  a  piercing, 
boring  and  cutting  character ;  the  light  is  insupportable,  the 
pains  worse  in  the  afternoon  and  evening;  when  the  complaint 
has  returned  several  times,  making  the  patient  fretful,  inclined 
to  weep,  and  becomes  worse  from  weeping. 

Byronia  may  be  given  after  Pulsatilla  has  removed  the  pain 
but  not  the  redness;  when  there  is  internal  burning  or  aching  as 
from  sand,  worse  in  the  evening  and  at  night,  when  the  lids  are 
swollen,  and  when  opened  give  rise  to  pain  in  the  head. 

Rhus  against  the  same  symptoms  as  Bryonia,  when  the  latter 
does  not  effect  a  cure ;  also  when  the  eye  continues  to  smart, 
aches  and  pricks,  and  discharges  much  water,  the  eyelids 
adhering  during  the  night;  or  when  there  is  sv^elling  resembling 
erysipelas. 

Veratrum,  when  the  pain  is  tearing,  interrupting  sleep  at 
night,  intolerable  headache,  much  heat  in  the  eyes,  and  a  sensa- 
tion of  dryness. 


I 


CHAP.  IT.  AFFECTIONS  OF  THE   ETES.  117 

A  bad  case,  in  which  many  remedies  had  been  used  without 
effect,  was  cured  by  Veratrum  and  Crocus,  given  alternately. 

Euphrasia  is  sometimes  suitable,  especially  when  small  watery 
blisters  appear  on  the  eye,  when  the  light  becomes  less  offensive, 
but  the  pain  more  violent,  and  the  redness  so  bad  that  every 
vein  can  be  seen. 

Niix  vomica,  Chamomilla,  and  Ignatia  are  here  suitable  remedies  for  their 
particular  symptoms,  and  still  more  frequently  Mercurius  and  Sulphur,  the 
indications  for  the  choice  of  which  are  more  particularly  pointed  out  under 
"  Scrofulous  Opthalmia." 

Where  the  rheumatic  opthalmia  attacks  the  deeper  tissues  of  the  eye,  as 
the  iris,  the  disease  assumes  a  more  formidable  character,  but  it  would  not 
be  possible  to  convey  by  writing  a  description  of  the  g^raver  forms  of  the 
disease  to  the  non-medical  reader,  nor  to  give  to  him  intelligible  indications 
for  the  remedies  required. 

Gout  affecting  the  Eyes. 

Aconite  should  be  given  first,  especially  when  there  is  heat  and 
burning  in  the  eyes,  with  pressive  and  shooting  pains,  especially 
when  moving  the  balls  ;  redness  and  inflammation,  with  intol- 
erable pains;  profuse  secretion  of  tears;  sparkling  of  the  eyes; 
great  dread  of  the  light ;  with  weight  and  fulness  in  the  fore- 
head, and  strokes  and  beatings  in  the  head. 

Antimonium  crudum,  Sulphur  or  Cocculus  may  be  given  with 
advantage  after  Aconite^  particularly  if  there  is  nausea  or  side 
stomach  ;  redness  and  inflammation  of  the  eyelids  or  corners  of 
the  eyes,  with  itching  and  nocturnal  sticking  together  of  the 
eyelids. 

Belladonna  is  frequently  of  service  for  the  symptoms  men- 
tioned under  "  Inflammation  of  the  Eyes,"  and  also  when  the 
pain  is  very  oppressive  all  around  the  eye,  above  it  or  alongside 
of  it ;  if  there  is  a  pricking  pain  above  it,  as  if  the  eye  were 
about  to  be  torn  out,  or  pressed  in ;  when  the  pain  is  intermit- 
ting ;  there  is  a  flashing  before  the  eyes,  or  the  patient  sees 
sparks  or  black  spots  with  a  bright  border,  or  everything 
appears  to  him  as  in  a  fog,  or  through  crape ;  and  when  these 
symptoms  are  accompanied  by  giddiness  and  headache,  so  bad 
as  to  deprive  him  of  consciousness. 

Colocynthis  is  serviceable  against  inflamed  eyes,  accom[ianied 


118  TREATMENT   OF    DISEASES. 

witTi  severe  cutting  pains  whicli  penetrate  into  the  head,  and 
press  particularly  into  the  forehead,  or  on  one  side  of  the  brain: 
when  they  are  drawing  and  tearing,  or  extend  into  the  nose,  or 
even  through  the  whole  body,  with  great  agitation  and  restless 
ness. 

Eyes  affected  by  Scrofula,  (Scrofulous  Opthalmia.) 

Many  complaints  of  the  eye  arise  from  scrofula,  which  maybe  distinguished 
by  the  symptoms  enumerated  under  the  medicines  mentioned  below;  we  meet 
with  them  in  chiUlren  who  suffer  from  this  complaint,  or  in  grown  persons  who 
have  suffered  with  scrofula  in  their  childhood.  When  this  disease  has  once 
weakened  the  eyes,  they  are  liable  to  a  relapse  from  cold  and  other  causes, 
and  dimness  of  the  eye  and  ulcers  on  the  ball  of  the  eye  are  much  more  fre- 
quent. 

Aconite  is  often  useful  at  the  commencement  of  an  attack, 
which  it  sometimes  cuts  short ;  it  should  be  given  when  the 
symptoms  come  on  suddenly,  the  eye  is  very  painful,  red  and 
intolerant  of  light. 

Pulsatilla  often  suits  in  the  beginning,  when  the  margins  of 
the  eyelids  become  red,  burn,  and  a  secretion  of  pus  causes  them 
to  adhere  ;  when  there  is  a  profuse  secretion  of  tears,  which  are 
so  acrid  as  to  make  the  cheeks  sore,  and  a  watery  swelling  of 
the  lids ;  when  the  eyes  cannot  bear  the  light.  Examine  also 
what  has  been  said  of  Pulsatilla  under  "  Inflammation  of  the 
Eyes."  If  it  gives  relief,  but  does  not  effect  a  complete  cure, 
give  Ferrum  after  it  has  been  taken  for  a  week. 

Belladonna  if  there  is  a  sensation  of  severe  pressure  in  the 
e3^es,  which  is  worse  when  they  are  turned  upward,  when  many 
red  veins  can  be  seen,  and  pustules  and  ulcers  appear  on  the 
eye-ball ;  when  catarrh  and  other  symptoms  already  mentioned 
under  Belladonna  accompany  the  disease,  and  arise  from  a  cold, 
or  from  damp  and  cold  weather. 

Mercurius  for  children  who  have  not  yet  taken  any  mercury; 
when  the  pains  are  cutting,  particularly  on  straining  the  eyes; 
worse  in  the  evening  and  in  the  warm  bed  ;  burning  in  the  open 
air,  the  eyes  full  of  tears,  light  insufferable,  the  sight  clouded ; 
or  small  pustules  or  ulcers  make  their  appearance  on  the  cornea, 


CHAP.  II.  AFFECTIONS   OF   THE   EYES.  119 

and  return  with  every  fresb  cold  :   it  will   often    be  of  service 
after  Belladonna  has  acted  for  a  week  or  two. 

He-par  may  be  given  after  Belladonna  or  Ilerctcrius,  or  to 
children  who  have  taken  much  calomel,  when  the  eyelids  and 
eyes  are  red  and  sore,  and  being  touched  pain  as  if  bruised, 
close  convulsively,  can  scarcely  be  moved;  the  light  is  insutVer- 
able  in  the  evening;  the  eyes  appear  at  times  quite  dull,  at 
other  times  bright  and  clear;  there  is  a  pressure  in  the  eye  as 
if  it  were  coming  out;  and  also  when  small  pustules  or  spots 
appear  on  the  cornea,  and  red  spots  externally  around  the  eye. 
Give  of  this  medicine  a  dose  of  the  third  trituration,  about  as 
much  as  will  lie  on  the  point  of  a  penknife,  daily  for  several 
successive  days. 

Sulphur  should  be  given  instead  of  Hepar,  when  Belladonna 
or  Mercurius  has  been  given  previously;  but  not  after //e/>o?-; 
in  cases  where  the  eyelids  are  contracted  in  tlie  morning,  and 
the  daylight  is  particularly  odious  to  the  patient,  or  be  is  quite 
blind  during  the  day,  and  can  only  see  a  little  during  twilight; 
when  there  seems  to  be  a  mist  before  the  eyes,  the  cornea  is  dim, 
appearing  as  if  dusty;  or  when  the  eyelids  are  particularly 
affected,  as  noticed  before.  Also,  when  the  white  of  the  eye 
appears  very  red,  is  bloodshot,  and  there  are  little  spots  on  it; 
when  there  is  increased  flow  of  tears  and  aversion  to  light, 
severe  pressure  in  the  eye-ball-,  aggravated  in  the  light  of  the 
sun.  The  third  trituration  may  be  taken  daily  or  every  otlier 
day,  according  to  circumstances,  and  will  be  found  very 
beneficial. 

Dulcamara  is  of  great  use  when  the  soreness  of  the  eyes  pro- 
ceeds fi-oni  cold,  particularly  when  affected  by  reading,  and 
everything  appears  covered  with  a  veil ;  when  there  is  a  sensa- 
tion like  flashing  of  fire  from  the  eyes;  at  the  same  time  much 
pain  over  the  eyes.  If  the  patient  feels  better  when  quiet,  and 
is  disposed  to  keep  so,  and  worse  when  moving  about,  do  not 
iTivQ  Dulcamara,  but  T&ther  Belladonna ;  but  if  worse  when  at 
rest,  and  he  likes  to  walk  about,  give  Dulcamara,  allowing  it 
time  to  operate. 


120  TREATMENT   OF   DISEASES. 

Calcarea  is  sometimes  applicable  after  Dulcamara  or  when 
ulcers  and  films  make  their  appearance  on  the  eye,  accompanied 
by  violent  pressure,  itching  and  pricking;  or  burning  and  cut- 
tiny;  when  reading  in  the  evening;  when  there  is  a  dimness  and 
haziness  before  the  eyes,  particularly  after  eating,  reading, 
sewing,  &;c. ;  also  when  there  is  a  feeling  of  inward  coldness. 

China  should  be  given  when  the  eyes  are  much  more  painful 
in  the  evening,  feeling  as  if  there  were  sand  in  them,  or  as  if 
something  were  being  forced  into  them;  when  the  cornea  has 
lost  its  brilliancy,  or  when  on  looking  close  into  the  eyes  there 
appears  to  be  a  sort  of  smoke  or  fog  in  the  interior.  In  this 
case  it  is  necessary  to  consult  a  physician. 

Arsenicum  is  sometimes  of  use  when  the  pains  are  of  a  burn- 
ing character,  as  if  produced  by  red-hot  coals,  and  when  spots 
have  already  made  their  appearance  on  the  eye.  In  affections 
of  this  kind  the  remedies  before  recommended  in  "Inflamma- 
tion of  the  E3'es"  are  suitable,  especially  Ignatia  and  Nux  vomica  ; 
in  spots  on  the  eye,  Euphrasia  are  to  be  preferred  above  all  other 
remedies. 

Sometimes  inflammation  of  the  eyes  proceeds  from  the  introtluction  of  very 
minute  insects,  Tliey  may  in  general  be  readily  removed  in  the  mode  de 
scribed  before.  The  inflammation  caused  by  them  will  be  allayed  by  applying 
pieces  of  linen,  moistened  with  camphor,  to  them,  or  by  the  use  of  the  camphor 
salve  before  described. 

Very  bad  diseases  of  the  eye  are  caused  by  the  suppression  of  cutaneous 
eruptions,  ulcers,  or  other  diseases ;  in  such  cases  apply  to  a  homceopathic 
practitioner.  If  they  are  consequent  upon  small-pox,  measles,  scarlet  fever, 
see  what  is  said  under  these  different  heads. 

Spots  or  films  on  the  eyes  should  never  be  treated  with  corrosive  remedies, 
as  is  but  too  generally  the  custom,  and  by  which  thousands  have  lost  their 
sight.  Rather  give  the  eye  rest,  and  if  you  cannot  consult  a  physician,  make 
use  of  the  medicines  prescribed  above,  allowing  each  to  operate  from  a  week  to 
a  fortnight ;  Euphrasia,  Apium  virus,  Fuhatilla,  Hcfiar,  Belladonna,  Sulphur, 
Fhospho}-us,  Calcarea,  and  Silicea  are  particularly  effective. 

He  who  is  not  patient  enough  to  try  these  remedies  may  use  genuine  pure 
nut  oil.  obtained  by  pressure  and  moderate  heat  from  walnuts  that  are  not 
more  than  a  year  old ;  introduce  one  drop  of  it  into  the  eye  every  evening. 
To  white  spots  which  are  very  thick,  and  much  swollen,  apply  finely  powdered 
table  salt,  with  a  hair  pencil.  The  daily  application  of  finely  powdered  white 
sugar  will  sometimes  cause  the  removal  of  the  film  from  the  eye.  For  serious 
opacities  of  the  cornea  interfering  very  much  with  vision,  a  homa?opathic 
practitioner  should  be  consulted,  and  sometimes  the  surgeon's  aid  will  be 
required. 


CHAP.  II.  AFFECTIONS   OF   THE   EYES.  121 


Weakness  of  sight,  with  remarks  on  the  use  of 
Spectacles. 

Weakness  of  siglil. — This  name  is  given  improperly  to  all  defects  of  vision. 
It  is  correctly  used  only  when  the  eyes  feel  weak  after  the  least  exertion, 
refusing  their  services  altogether,  or  are  painful  without  any  perceptible  cause 
appearing  in  the  eye  on  examination.  Short-sightedness  is  not  weakness,  for 
we  often  find  it  in  the  strongest  eyes,  and  principally  in  young  people  whose 
occupation  leads  them  to  look  at  objects  very  closely  ;  it  is  merely  an  inca- 
pacity to  minutely  distinguish  objects  at  a  distance ;  the  more  distant  the 
objects  are,  the  more  confused  they  appear,  and  they  can  only  be  distinguished 
by  looking  at  them  for  a  length  of  time  ;  anything  near  appears  very  distinct, 
and  even  the  most  minute  object  can  be  distinguished  accurately.  Neither 
is  f(ir-siijht<;dn&'!s  a  weakness,  for  it  belongs  to  the  strongest  eyes,  chiefly 
occurring  in  aged  persons,  whose  calling  has  led  them  to  examine  things  at  a 
great  distance  ;  it  is  an  incapacity  to  distinguish  minutely  objects  which  are 
near ;  the  nearer  small  objects  are,  the  less  easily  are  they  recognized. 

When  the  eyes  are  really  weak,  spectacles  are  always  injurious ;  they  are 
only  useful  for  persons  either  far-sighted  or  short-sighted.  As  much  mischief 
has  been  done  by  the  misuse  of  spectacles,  we  will  caution  our  readers  against 
the  chief  errors  which  prevail. 

Let  no  one  who  is  neither  short  nor  far-sighted  ever  wear  spectacles,  not 
even  temporarily.  If  he  is  either  the  one  or  the  other,  and  has  weak  eyes 
besides,  let  him  use  spectacles  as  seldom  as  possible.  For  weak  eyes  are 
always  made  still  weaker  by  spectacles  of  whatever  kind  they  may  be;  some- 
times they  injure  the  eyes  irretrievably. 

(ireen  spectacles  are  without  exception  extremely  injurious,  and  physicians 
are  much  to  blame  when  they  recommend  their  use.  Every  one  may  convince 
himself  of  their  injurious  effects  by  looking  for  a  short  time  through  a  piece 
of  green  glass  on  white  paper  lying  in  the  sun  ;  on  suddenly  removing  the 
glass  he  will  perceive  a  red  spot  on  the  paper. 

'L'his  proves  that  the  eye  is  compelled  to  produce  a  red  color  ;  to  do  this 
excites  tlie  eye,  and  the  power  of  vision  becomes  enfeebled.  Innumerable 
instances  of  the  injnry  done  in  this  manner  are  on  record.     Green  glasses  are 

.  worse  to  the  eyes  than  brandy  to  the  nerves. 

To  protect  the  eyes  against  the  glare  of  the  light  when  walking  over  snow- 
covered  regions,  in  bright  sunshine,  or  when  working  near  the  fire,  spectacles 
made  of  light  wire  with  large  round  openings,  in  which,  instead  of  glass,  black 

I  crape  is  fixed  tightly,  are  most  useful.     The  only  color  of  glass  allowable  is 

|i  a  light  blue,  colored  by  cobaJtum,  the  color  ought  to  be  of  such  a  shade  that 
bright  sunlight,  when  falling  through  the  glass,  appears  snow-white,  without 
blinding  the  eyes.     Glasses  of  the  color  commonly  known  by  the  name  of 

I  "  London  xvi'i/ce,"  are  injurious,  they  ought  not  to  be  used. 

Short-sighted  persons  should  use  concave  glasses,  which  will  present  dis- 

I  tant  objects  to  them  smaller  and  better  defined. 

Those  who  are  far-sighted  must  use  convex  glasses,  which  will  make  objects 

i'  which  are  near  appear  larger  and  plainer. 

i       As  all  kinds  of  glasses  are  adapted  to  a  certain  distance,  they  should  only 

I  be  used  for  such  a  distance ;  remote  objects  should  not  be  looked  at  through 
a  glass  adapted  to  near  ones,  nor  glasses  used,  calculated  for  a  great  distance, 

I  to  look  at  objects  which  are  very  near. 

[      Spectacles  ought  to  be  selected  for  the  distance  for  which  you  most  com- 

!  12 


122  TREATMENT  OF   DISEASES. 

monly  rtviuirc  tliem.  Short-siglited  persons  should  use  glasses,  which  at  Ihe 
dinlance  lor  which  they  are  intended,  diminish  but  little,  the  less  the  better  ; 
for  those  which  diminish  too  much  injure  the  sight.  Far-sighted  persona 
should  select  glasses,  which  when  used  to  read  with  at  a  proper  distance,  do 
not  much  enlarge  the  letters,  the  less  the  better;  for  when  they  magnify  too 
much,  they  are  also  injurious  to  the  eyes. 

It  is  often  necessary  to  have  a  different  kind  of  glass  for  each  eye ;  the  one 
adapted  to  the  left  may  injure  the  right;  generally  the  latter  is  the  stronger; 
try,  therefore,  each  eye  by  itself.  This  should  not  be  done  immediately  alter 
nil'als  or  after  drinking;  nor  should  several  pairs  of  spectacles  of  different 
power  be  tried  in  succession,  for  they  contract  or  dilate  the  pupil  and  prevent 
you  from  selecting  those  most  suitable.  It  is  better  to  try  one  pair  every 
day.  until  you  find  glasses  exactly  adapted  to  your  eyes. 

Tiie  glasses  ought  not  to  make  the  eyes  feel  sore,  it  is  a  proof  that  they 
are  too  strong,  that  they  are  altogether  bad,  or  that  the  eyes  are  too  weak  to 
use  spectacles  at  all.  It  is  rare  that  spectacles  which  are  too  weak  produce 
pain  in  the  eyes.  Either  change  the  glasses  until  you  suit  yourself,  or  wear 
uoiK!  at  all. 

When  they  cause  any  uncomfortable  feeling,  pressure  in  the  eyes,  or  even 
in  the  head  ;  when  they  make  you  feel  sleepy,  produce  -heat  and  redness  in 
the  eyes ;  when  you  are  often  obliged  to  allow  the  eyes  to  rest,  or  when  after 
the  removal  of  the  spectacles,  some  time  elapses  before  you  can  see  proper'y 
again  ;  or  when  the  objects  appear  larger  or  smaller  through  the  glasses  than 
they  used  to  do,  it  is  high  time  to  have  your  glasses  changed,  if  you  do  not 
wish  to  injure  your  eyes.  By  a  proper  change  of  glasses  the  sight  mvf  be 
much  improved. 

AVhen  a  short-sighted  person  sees  objects  through  the  glass  smallei  than 
he  used  to  do  before,  he  ought  to  have  weaker  or  less  concave  oucyj ;  if 
he  sees  them  larger  and  less  plain,  he  ought  to  have  somewhat  stronger  or 
more  concave  glasses.  When  to  a  far-sighted  person  objects  appear  oLialler 
and  less  distinct,  he  ought  to  have  glasses  of  greater  convexity  ;  if  they  appear 
larger,  glasses  of  le.ss  convexity. 

The  spectacles  used  ought  to  be  as  light  as  possible,  and  have  slides  to 
keep  them  firm  without  pressing;  the  larger  the  glasses  are,  the  better;  they 
should'  be  perfectly  clear  and  transparent,  without  a  red  or  j;reeu  shade, 
without  flaws,  notches,  streaks  or  cracks  ;  they  should  be  well  and  uniformly 
ground.     Glasses  divided  into  two  or  more  are  injurious. 

The  glasses  should  always  be  kept  clear  and  bright,  should  never  be  touched 
with  the  bare  finger,  and  be  frequently  wiped  with  soft  buckskin.  When 
taken  off,  they  should  be  put  on  the  sides,  not  on  the  glasses,  and  when  they 
get  scratched,  they  should  be  replaced  by  new  ones.  A  skilful  optician  will 
be  able  to  select  suitable  glasses  when  he  is  furnished  with  the  exact  distance 
at  which  the  person  can  read  large  letter-press,  which  ought  always  to  be  de- 
termined. If  they  get  broken,  pieces  of  the  broken  glass  nmy  also  be  used, 
to  select  others  exactly  of  the  power  wanted,  at  a  higher  or  lower  uaniber. 

Weakness,  and  the  Defects  of  Vision. 

Those  who  suffer  from  weakness  of  the  eyes  from  too  much  reading,  sewing, 
and  similar  causes,  must  be  very  careful  how  they  use  their  eyes,  they  must 
read  or  sew  as  little  as  possible  by  gas  or  candle  light,  never  when  the  light 
flickers,  never  when  the  book  moves  as  in  riding,"never  when  lying  down, 
never  when  the  bright  sun  shines  upon  the  book,  never  in  the  twifiiiht  :  very 
hurtful  also  is  the  light  of  the  moon.    If  you  are  forced  to  use  your  eyes  under 


CHAP.  II.  AFFECTIONS   OF  THE    EYES.  123 

such  circumstances  it  is  advised  to  do  so  from  ten  to  fifteen  minutes,  then 
pause  awhile,  and  so  on;  in  reading  or  writing  have  the  gaslight  always 
behind  you,  above  and  back  of  the  head. 

Weakness  of  the  eyes  may  frequently  be  improved  by  washing  the  entire 
head  every  day  in  cold  water.  Bathing  the  eyes  with  a  mixture,  composed 
of  a  teaspoonful  of  old  cognac  brandy  and  a  tumblerful  of  water^  may  some 
times  prove  serviceable,  but  not  always. 

Ruta  is  of  service  in  weakness  caused  by  excessive  reading, 
sewing,  &c.,  when  everything  before  the  eyes  appears  dusky  and 
foggy,  when  nothing  at  a  distance  can  be  distinguished,  and 
occasionally  spasms  of  the  eyelids  occur. 

Apium  virus,  if  after  every  exertion  the  eyes  ache  or  the  eye- 
balls twitch  and  jerk  in  the  night. 

Short-Sightedness. 

Short-sightedness  which  is  not  of  long  standing,  particularly 
if  occasioned  by  inflammation  of  the  eyes,  may  be  cured  by 
Pulsatilla;  if  the  result  of  taking  large  quantities  of  calomel, 
by  Carlo  vegetahilis ;  if  occurring  after  nervous  fever,  or  from 
other  debilitating  causes,  by  Phosphoric  acid;  after  nervous 
fever  with  diarrhoea,  China. 

Far-sightedness. 

Far-sightedness,  produced  by  excessive  indulgence  in  ardent 
spirits,  will  be  removed  by  Nux  vomica ;  if  accompanied  by 
dimness  of  sight  when  reading,  or  running  together  of  the 
letters,  and  dazzling  of  the  eyes  in  the  light,  by  Drosera.  Or, 
if  these  are  not  suf&cient,  by  Suljjhur ;  followed,  if  necessary, 
by  Silicea  for  lean  persons,  or  Calcarea  for  corpulent  persons. 
But  in  all  such  cases  it  is  better  to  consult  a  physician. 

Attacks  of  Blindness. 

Aconite  will  benefit  sudden,  temporary  attacks  of  blindness; 
Mercurius,  attacks  which  return  frequently,  but  if  the  patient 
has  taken  much  calomel,  Silicea  should  be  given  instead. 

Belladonna  is  efficacious  in  night  blindness,  when  the  patient 
can  see  nothing  after  twilight,  particularly  if  something  red,  or 
if  sparks  appear  before  the  eyes,  or  a  variegated  circle  around 
the  candle, 


124  TREATMENT   OF   DISEASES. 

Veratrum  and  Hyoscyamus^  when  black  spots  or  sparkling 
appears  before  the  eyes. 

Sulphur^  ft^lluvved  by  SiUcea,  is  serviceable  in  attacks  of  day- 
blindness,  where  the  patient  can  only  see  in  the  evening. 

Dread  of  Light. 

The  shrinking  fi-om  the  light,  if  the  patient  can  bear  nothing 
bright,  is  usually  connected  with  other  complaints,  for  which' 
tlic  appropriate  remedy  must  be  selected.  If  this  is  not  the 
case,  give  Aconite  for  two  successive  mornings,  and  wait  a  few 
days;  at  night  give  Nux  vomica ;  if  no  better  alter  three  days, 
give  Belladonna  ;  after  eight  days,  Mercurius  ;  and  after  eight  days 
again,  Hepar,  sometimes  Calcarea.  When  the  patient  has  so 
great  a  desire  for  light,  that  he  cannot  have  it  intense  enough, 
give  first  Aconite;  after waids,  if  necessary,  Belladonna  and 
Sulphur. 

Euphrasia  may  be  given  against  shrinlcing  from  the  light 
with  headache,  and  when  the  light  of  a  candle  appears  dark  and 
unsteady. 

Apium  virus  if  everything  seems  to  whirl  before  the  eves,  and 
if  the  eyes  feel  as  if  full  of  mucus. 

Pulsatilla  when  a  fiery  halo  or  circle  appears  around  the 
light,  or  the  sight  is  dim,  as  if  something  needed  to  be  wiped 
away,  when  everything  appears  double  or  is  totally  obscured. 

Belladonna  when  a  variegated  halo  surrounds  the  light  of  the 
candle,  when  the  patient  sees  red  spots  or  a  mist;  if  the  objects 
appear  double  and  there  is  incipient  blindness. 

Veratrum  for  black  spots  and  sparkling  before  the  eyes,  and 
double  vision. 

Staphisarjria  for  dimness  of  sight,  with  black  flashes  and 
flickering  during  the  day,  in  the  night  fiery,  meteor-like  appear- 
ances, or  a  halo  around  the  light. 

Squinting  of  Children. 

Squinting  of  children,  if  the  head  is  nuich  heated,  is  often  cured  by  Bella- 
donna;  wbi^u  occasioned  by  worms,  by  Hyoncyamus;  after  scarlet  fever,  Rhus 


CHAP.  III.  AFFECTIONS   OF   THE   EARS.  125 

or  Cuprum;  if  it  arises,  which  is  very  common,  from  the  light  always  being 
kept  on  the  same  side  of  the  bed  of  the  child,  place  it  for  some  tiu)e  on  the 
other  side,  or  turn  the  child  in  the  bed,  so  as  to  have  the  light  on  the  other 
side  ;  aftenvards  place  the  child  in  such  a  manner  as  to  have  the  light  iu  front, 
which  is  the  proper  position.  If  this  cannot  be  done,  put  a  dark  screen  before 
the  light.  With  older  children  this  is  seldom  of  much  use.  In  these  cases 
you  may  tie  up  the  sound  eye  first  every  day  for  several  hours,  afterwards  for 
several  days  at  a  time,  so  that  they  cannot  see  with  it  at  all,  and  may  thus 
learn  to  accustom  themselves  to  use  the  squinting  eye  properly. 

If,  in  squinting,  they  turn  both  eyes  outwards,  put  a  bit  of  black  court 
plaster  on  the  tip  of  the  nose  ;  if  inwards,  put  a  screen  of  shining  silk  on  each 
side  of  the  head,  like  blinkers.  If  all  this  proves  unavailing,  consult  a  physi- 
cian. 


CHAPTER   III. 

AFFECTIONS  OF  THE  EARS. 

Eruptions. 

Eruptions  behind  or  in  the  ears.     See  "  Eruptions." 

Mumps. 

'  Mumj)fi,  a  swelling  of  the  great  salivary  glands  lying  under  and  in  front 
\  of  the  oar,  frequently  occur  with  children,  but  r^e  not  dangerous  unless  they 
'  strike  in.  Sometimes  the  swelling  extends  over  the  whole  neck,  so  that  the 
'  patient  can  neither  chew  nor  swallow,  and  increases  for  three  or  four  days. 

Sometimes  on  the  fifth  or  seventh  day  the  swelling  on  the  neck  disappears, 
I  and  shows  itself  on  the  breast  or  testicles,  which  become  red  and  painful,  and 
I  pain  in  the  bowels  or  other  symptoms  make  their  appearance. 
[  The  patient  should  be  kept  warm,  not  too  much  so,  however,  and  care  taken 
[  to  prevent  his  taking  cold  in  any  way.  All  stimulating  food  and  drinks  should 
I  be  avoided,  and  no  "external  application  made  use  of,  with  the  exception  of 

tying  a  cotton  or  linen  handkerchief  arouhd  the  neck. 

\      Mercurius  is  the  principal  remedy  in  this  affection,  two  or 
three  doses  of  which  will  in  most  cases  effect  a  care. 

Belladonna  will,  however,  be  indicated  if  the  disease  assumes 
an  inflammatory  character,  or  the  swelling  is  very  red,  resem- 
bling erysipelas,  or  when  it  strikes  in,  and  effects  the  brain, 
which  may  be  known  by  the  sudden  disappearance  of  the  swell- 

I  ii^g,  followed  by  unconsciousness  and  delirium  of  the  patient. 

I      Bryonia  is  sometimes  useful  when  the  swelling  suddenly  dis- 

i  appears  and  alarming  head  symptoms  occur. 

i  ""  12* 


126  TREATMENT   OF   DISEASES. 

Carlo  vegetaUlis  when  the  patient  has  a  slow  fever,  the  swell- 
ing becoming  harder  and  will  not  disperse;  or  when  striking 
in,  it  falls  upon  the  stomach;  and  also  when  J/ercwrms,  given  in 
the  commencement  of  the  disease,  has  failed  in  giving  relief,  or 
if  the  patient  has  previously  taken  much  calomel.  Should  Carlo 
veijetahiUs  be  insufficient,  it  may  be  followed  by  Cocculus  which 
is  especially  useful  for  the  sickness  attendant  on,  or  following 
mumps. 

Hyoscyamus  may  be  given  for  the  symptoms  indicated  under 
Btlladonna,  if  the  latter  fails  to  produce  a  favorable  change  in 
thirty-six  hours. 

When  attended  by  pain  in  the  throat,  see  under  this  com- 
plaint; when  by  much  hoarseness,  Carbo  vegetabilis  almost  always 
proves  efficacious. 

If  the  complaint  occurs  in  combination  with  other  aiffections  of  the  ear  or 
teeth,  ia  scald  head,  scarlet  fever,  measles,  small-pox,  malignant  fevers,  or 
after  excessive  use  of  mercury,  see  the  remedies  for  these  diseases. 

Inflammation  of  the  Ear. . 

Tn  inflammation  of  the  ear  there  is  generally  redness,  heat,  pain  and  swel- 
ling. The  jtassage  or  tube  is  sometimes  nearly  closed,  and  the  pain  so  severe 
that  the  patient  can  scarcely  bear  the  ear  to  be  touched. 

Pulsatilla  is  almost  specific  in  this  complaint.  Advantage 
will  als )  be  derived  from  covering  the  ear  with  cotton,  to  pro- 
tect it  from  the  air  and  noise,  if  the  pain  is  worse  inside  than 
near  the  surface ;  sometimes  accompanied  by  so  violent  a  tear- 
ing, boring,  throbbing,  pricking  and  burning,  that  the  patient 
becomes  delirious,  Pulsatilla  will  be  the  appropriate  remedy. 

Belladonna  will  be  required  if  the  pain  penetrates  into  the 
brain,  with  great  agitation,  vomiting,  coldness  of  the  extremities 
and  other  dangerous  symptoms. 

Earache. 

Cepa,  if  the  pain  is  worse  at  night  and  in-doors,  more  on  the 
left  side,  if  the  pain  goes  from  the  throat  or  head  to  the  ear 
and  if  it  is  accompanied  or  has  been  proceeded  by  catarrh. 

Chamomilla  in  single,  acute,  shooting  pains,  as  if  from  a  knife 


CK  /P.  in.  AFFECTION'S   OF  THE   EARS.  127 

in  he  ears,  caused  by  taking  cold  or  suppressed  perspiration  ; 
tilt  ear  being  dry  and  without  wax;  with  tearing  pains  in  the 
ear<,  extending  to  the  lobes;  the  patient  very  cross  and  easily 
off'^aded;  the  pains  insufferable. 

*'ercurius,  if  the  patient   perspires  without   being   relieved; 

wt^n  there  is  a  tearing  pain  extending  to  the  cheeks,  pricking 

def '  ily,  at  the  same  time  tearing,  pressing,  burning  pain;  or 

wh.^n  it  burns  externally,  or  feels  cold  inwardly,  with  violent 

twi"<;hes  and  jerks;  particularly  when  the  ear  is  moist. 

j       Pulsatilla.,  if  during  the  course  of  a  rheumatic  attack,  the  pai;* 

I  fall:''  upon  the  ear  and  is  attended  by  jerking,  tearing  pains,  as 

if  sTinething  were  about  to  be  pressed  out;  or  when  the  ear  is 

;  extc<  nally  red,  hot  and  swelled,  the  pain  passing  through   the 

;  who^5  side  of  the  face,  particularly  in  persons  inclined  to  chilli- 

';  ness  and  easily  moved  to  tears. 

N  tx  vomica,  for  very  violent  earache,  occurring  in  passionate, 
irras  nble  persons. 

A' nica,  to  very  sensitive  persons,  who  have  a  return  of  the 
pain  on  the  slightest  exposure,  with  oppression  and  stitches  ia 
and  behind  the  ears,  also  tearing,  heat,  and  irritability  at  any 
loud  noise. 

Cliiia,  if  the  pain  is  more  in  the  external  ear,  with  redness 
pricking  and  tingling  inside. 
I       Belladonna,  against  earache,  with  stitches  in  and  behind   the 
ears;  boring,  screwing  pain,  Avith  tearing  and  pricking  down  to 
j  the  throat,  with  ringing,  buzzing  and  rushing,  particularly  when 
j  the  head  and  eyes  are  affected;  the  pains  during  the  paroxysms 
I  being  worse  wdien  the  parts  are  touched,  or  on  moving  about. 
Hcpar,  against  the  same  symptoms  as  Belladonna,  when   the 
latter  is  insufficient,  and  also  against  shooting  pain  on  blowing 
the  nose,  with  throbbing  and  buzzing. 

Calcarea,  if  the  pains  are  chiefly  confined  to  one  side:  deep 
in  the  ear,  and  so  violent  as  almost  to  drive  the  sufferer  to  dis- 
traction ;  especially  if  mostly  on  the  right  side,  or  worse  aftei 
midnight,  lowards  morning,  in  the  forenoon. 


X28  TREATMENT   OF   DISEASES. 

Sulphur,  if  the  pain  returns  frequently;  is  on  the  left  side,  oi 
aggravated  in  the  evening  or  before  midnight. 

Platinum,  if  the  pains  are  very  severe,  like  cramps,  with  a 
jerkino-,  rumbling  and  rolling  sensation  in  the  ears;  the  ears 
feel  cold,  and  as  if  deafness  were  about  to  ensue,  with  a  crawling 
sensation,  extending  to  the  face. 

Dulcamara,  against  pains  which  are  worse  when  the  patient 
is  at  rest;  particularly  during  the  night,  and  are  attended  by 
nausea. 

Jihus  is  very  useful  if  the  earache  is  caused  by  a  cold. 

Other  remedies,  such  as  Phosphoric  acid,  Antimoninm  cnidnm,  &c.,  may  be 
required  in  some  cases. 

;Make  no  external  application;  even  oil  may  become  injurious;  hot  vapors 
may  burn  the  ear,  and  a  part  that  is  once  injured  cannot  be  restored.  A 
sponge  dipped  in  warm  water  and  tied  upon  the  ear,  is  the  only  application 
which  will  sometimes  mitigate  the  pain  without  doing  any  harm. 

If  the  medicines  are  to  take  effect,  no  cotton  must  be  crammed  into  the 
ear.  This  should  only  be  resorted  to  in  cases  of  need,  as  prescribed  under 
"  Running  of  the  ears." 

Running  of  the  Ears. 

Running  of  the  ears  is  a  complaint  which  must  be  borne  patiently,  because 
the  most  insignificant  running  may,  when  suppressed,  produce  serious  conse- 
quences. A  continued  running  of  the  ear  is  hard  to  cure.  The  use  of  the 
.syringe  should  be  avoided.  Oil,  even,  may  be  injurious,  \w  ause  some  of  it 
always  remains  in  the  ear,  and  becomes  rancid.  Articles  which  become  hard 
are  still  worse.  Lukewarm  water  is  the  only  fluid  not  injurious;  use  as  much 
of  this  as  is  required  for  cleanliness.  It  is  also  well  to  put  a  little  fine  wool 
or  cotton  into  the  ear,  in  winter,  to  keep  out  the  cold,  and  in  summer  to  keep 
out  the  flies,  which  sometimes  deposit  their  eggs  in  them  in  hot  climates. 
When  the  patient  feels  the  crawling  of  maggots,  drop  sweet  oil  into  the  ear 
until  it  is  full,  and  proceed  to  remove  them  as  directed  in  Chap.  X. 

But  important  as  it  is  to  have  something  in  the  ears,  particularly  in  summer 
and  whilst  asleep,  when  the  discharge  smells  offensively,  great  caution  is  to 
be  recommended  in  its  application. 

"When  the  running  of  the  ear  remains  after  inflammation,  or 
when  accompanied  by  pain,  particularly  by  pain  pressing  out- 
wardly; or  the  ear  is  hot  and  red,  or  covered  with  a  scabby, 
itchy  eruption  ;  or  when  the  disease  succeeds  measles,  give  Pul- 
satilla; if  that  does  not  relieve,  give  Sulphur. 

For  the  running  following  scarlet  fever,  give  Belladonna; 
and  after  a  few  days,  if  necessary,  Mercurius,  and  then  Bella- 
donna again  ;  if  this  is  not  .sufficient,  Heimr. 


CHAP.  III.  AFFECTIONS   OF   THE   EARS.  129 

In  running  from  the  ears  occurring  after  small  pox,  w'lnch  is 
sometimes  bloody,  and  combined  with  pricking  pain;  if  out- 
wardly ulcerated,  and  the  discharge  is  offensive,  give  Mercurms. 
But  if  the  patient  has  taken  much  calomel,  give  Hepar ;  if  he 
has  taken  too  much  sulphur,  give  Pulsatilla^  and,  a  few  days 
afterward s,  Mercurms. 

Should  it,  notwithstanding,  become  very  tedious,  take  as 
much  potash  as  will  lie  on  the  end  of  a  knife,  dissolve  it  in  a 
pint  of  rainwater,  sliake  it  well,  then  pour  a  teaspoonful  into 
the  ear  every  day,  until  it  begins  to  improve. 

If  the  discharge  is  purulent  and  tedious,  give  Mercurins,  and 
eight  days  later,  Sulphur ;  and  this  last  repeat  once  every  week. 
Should  it  not  improve  under  this  treatment,  give  Calcarea.  If 
there  is  a  severe  headache  combined  with  it,  give  Mercurms  or 
Sulj^hur ;  if  this  gives  no  relief,  Belhdoyina,  and  afterwards 
Lachesis.  Should  no  benefit  notwithstanding  all  this  accrue, 
give,  two  mornings  successively,  Silicea,  and  repeat  it  after  one 
or  two  weeks,  if  necessary.  A  tedious  discharge  is  sometimes 
relieved  by  Causticum,  particularly  when  the  patient  is  fre- 
quently attacked  with  rheumatism.  But  if  all  these  remedies 
fail,  try  injections  of  a  weak  solution  of  borax. 

Should  the  discharge,  whether  of  long  or  short  standing,  be  checked  sud- 
denly, it  is  always  dangerous.  Examine  the  ear  carefully  with  the  ear-speculum 
or  with  a  hair-piu,  and  if  a  crust  or  other  obstruction  has  been  formed,  it  may 
be  softened  by  gently  introducing  into  the  ear  the  vapor  or  warm  water. 

If  there  is  no  obstruction,  and  yet  the  passage  is  dry  and  painful,  relief  will 
be  obtained  by  applying  pieces  of  warm  bread  fresh  from  the  oven  to  the  enr ; 
changing  them  as  often  as  they  get  cold  ;  or  the  ear  may  be  held  over  a  small 
loaf  of  warm  rye  or  bran  bread,  through  the  crust  of  which  a  hole  has  been 
made  previously. 

When  the  glands  of  the  neck  become  hard  and  swollen  after 
the  suppression  of  the  discharge,  give  Pulsatilla  ;  later,  Mercu- 
riits  or  Belladonna. 

If  severe  headache  and  fever  occur,  give  Belladonna  first ;  if 
no  relief  is  obtained,  then  give  Bryonia.  If  it  is  produced  by  a 
violent  cold  or  wet  feet,  and  the  patient  is  better  for  exercise, 
give  Dulcamara;  but  if  better  by  keeping  quiet,  give  BelJ-a- 
donna.     If  worse  when  warm  in  bed,  Mercurius. 

If,  after  a  suppressed  discharge,  a  swelling  like  mumps  takes 
k 


130  TREATMENT   OF   DISEASES. 

place,  give  the  remedies  prescribed  for  mumps.  But  if  the 
swelling  be  in  the  genitals,  give  Nux  vomica  in  the  evening; 
and  if  that  does  not  relieve,  Pulsatilla  in  the  morning. 

Sometimes  a  violent  headache  arises,  which  becomes  dull, 
with  a  pressure,  as  if  the  skull  were  too  small ;  the  eyes  become 
red;  the  pain  is  worse  when  moving,  and  followed  by  fever; 
sometimes  spasms  in  the  face  occur,  swelling  of  the  head,  loss 
of  memory,  &c. ;  followed  by  a  roaring  and  rustling  in  the  ears, 
deafness,  and  a  sudden  discharge  of  matter.  Let  the  ear  be 
cleansed  with  lukewarm  water,  and  the  patient  lie  on  the  side 
affected,  having  a  small  cushion  or  folded  napkin  placed  about 
the  ear.  If  the  malady  is  perceived  before  the  purulent  dis- 
charge, give  Repar  ;  if  not  better  in  a  few  days,  Mercurius.  If 
this  produces  no  marked  result  after  three  doses,  give  Lachesis  ; 
after  this  again  Hepar. 

The  same  treatment  is  to  be  observed  when  the  running  ceases  suddenly. 
As  soon  as  there  is  an  escape  of  matter,  the  patient  is  safe,  and  nothing  more 
is  necessary  to  be  dune,  if  this  does  not  take  place  the  patient  may  die.  The 
most  skilful  physician  cannot  always  cure  this  evil. 

Buzzing  in  the  Ears. 

This  complaint  is  generally  connected  with  running  of  the  ears  and  diffi- 
culty of  hearing ;  or  with  earache.  Sometimes  with  "  headache,"  and  •'  deter- 
mination of  blood  to  the  head."  In  such  cases  the  appropriate  medicines  for 
these  diseases  should  be  given. 

If,  however,  it  is  unconnected  Avith  other  symptoms,  and 
arises  from  cold,  is  worse  in  the  morning,  Nux  vomica  is  the 
proper  remedy. 

Pulsatilla,  if  worse  in  the  evening. 

Dulcamara,  if  worse  in  the  night;  to  persons  wbo  perspire 
much,  Mercurius ;  to  those  who  cannot  perspire,  Chamomilla ; 
to  very  sensitive  persons  who  have  taken  much  mercury,  or 
suffer  much  from  fever,  or  liver  complaints,  when  the  buzzing 
is  more  hissing,  like  a  ringing  or  singing,  give  Ohina;  but  if 
louder,  more  like  the  noise  of  a  humming-top,  or  when  China 
does  no  good,  Carbo  vegetahilis.  In  old  persons,  especially  if  it 
is  on  one  side,  with  great  determination  of  blood  to  the  head, 
which  seems  to  cai  se  the  buzzing.  Arnica  is  beneficial,  and  must 


CHAP.  in.  AFFECTIONS   OF   THE   EARS.  131 

be  repeated  whenever  it  becomes  worse.  If  it  returns  always 
with  or  becomes  worse  from  wet  weather,  if  it  is  worse  in  doors, 
particularly  after  going  to  bed,  if  it  causes  hard  hearing,  if  it  is 
accompanied  by  pain  in  the  throat,  running  of  tears,  or  trouble 
when  making  water,  give  Cepa.  If  it  has  been  of  long  continu- 
ance, apply  to  a  physician. 

Sometimes,  when  the  least  noise  cannot  be  borne.  Sulphur^ 
given  once,  and  afterwards  Aconite,  several  times,  will  do  good. 
If  this  fails,  give  Carbo  vegetabilis  once,  and  Goffea  several  times 
afterwards. 

If  attended  with  great  sensitiveness  when  exposed  to  the 
wind,  or  with  echoing  of  every  step  and  word,  with  persons 
who  suffer  frequently  from  tearing  pains  in  the  limbs,  give 
Causticum  two  successive  mornings. 

Hardness  of  Hearing. 

This  complaint  is  generally  connected  with  other  diseases,  and  will  only 
cease  when  they  are  removed.  When  it  is  of  long  standing  it  cannot  easily 
be  cured  •  but  that  which  is  of  a  recent  date  is  very  easily  removed. 

In  chil  Iren,  and  not  unfrequently  in  grown  persons,  it  is  causeJ  by  some 
obstruction  in  the  ear.  The  ear  should  be  examined  carefully,  by  placing 
the  patient  in  such  a  position  that  the  light  may  fall  into  the  ear ;  if  an  ear- 
speculum  is  at  hand  it  will  enable  us  to  see  down  to  the  bottom  of  the  ear 
passage.  In  case  there  is  an  accumulation  of  hard  black  wax  in  the  ear, 
which  can  easily  be  detected,  this  must  be  removed  by  the  syringe.  Warm 
water  alone  should  be  used  for  injecting.  It  is  dangerous  to  introduce  hair- 
pins or  ear-picks  into  the  ear,  as  these  can  never  extract  the  hardened  wax, 
and  they  often  push  it  still  further  into  the  passage,  even  as  far  as  the  drum 
of  the  ear,  causing  exquisite  pain,  and  inflammation  if  it  be  not  immediately 
removed.  Caution  is  required  in  the  use  of  the  syringe,  not  to  introduce  the 
nozzle  too  far,  nor  to  inject  too  violently.  Whilst  using  it  the  outer  ear 
should  be  drawn  upwards  and  backwards  in  order  to  straighten  the  canal. 

If  too  great  a  dryness  or  want  of  wax  is  the  cause  of  the 
deafness,  sometimes  Carho  vegetabilis  or  Lachesis  prove  useful. 
The  passage  may  be  moistened  by  means  of  glycerine,  which 
should  be  introduced  into  the  ear  at  night  on  a  little  cotton 
wool. 

Hardness  of  hearing,  attended  with  singing,  tingling  and 
twittering,  is  sometimes  speedily  cured  by  Veratrum. 

If  connected  with  running,  give  the  medicines  prescribed  for 


132  TKEATMENT   OF   DISEASES. 

this  complaint,  especially  Pulsatilla,  Mercurim,  Sulphur,  Calca- 
rea,  Gausticum. 

If  it  is  in  consequence  of  measles,  Pulsatilla  or  Carlo  vegeta- 
bills;  after  scarlet  fever,  Belladonna  or  Hepar ;  after  small-pox, 
Mercurius  or  Sulphur. 

If  connected  with  cold  in  the  head,  and  its  general  attendant, 
a  sore  throat,  which  is  relieved  by  swallowing,  gargling  with 
warm  water  is  advisable;  if  this  does  not  cure  it,  give  Chamo- 
milla,  or  Arsenicum,  or  Lachesis. 

If  it  arises  from  rheumatism,  which  has  been  suppressed  by  a 
cold,  and  has  fallen  upon  the  ear,  give  the  medicines  proper  for 
the  rheumatic  pains,  and  afterwards  Bryonia,  Dulcamara,  or 
Sulphur. 

If  caused  by  suppressed  eruption  of  the  skin,  or  ulcers  healed 
by  salves,  &c.,  give  the  remedies  for  these,  particularly  Sulphur 
or  Aniimonium  crudum. 

If  the  patient  has  been  affected  with  piles,  sometimes  Nux 
vomica  gives  relief;  if  with  nervous  fever,  Arnica  or  Phosphoric 
acid. 

If  the  tonsils  are  swelled,  and  cause  hardness  of  hearing^, 
Mercurius  vivus  and  Staphisayria  frequently  prove  useful. 

In  tedious  complaints  of  this  nature,  dieting  and  drinking  plenty  of  cold 
water  is  of  great  importance.  If  not  removed  by  the  means  recommended 
above,  consult  a  homoeopathic  physician. 

Besides  the  above  mentioned  remedies  you  may,  after  comparing  the.  re- 
maining symptoms,  take  your  choice  among  the  following  :  Veratnim,  Stapkis- 
agria,  Arsenicum,  Hyosojamus;  and  in  very  critical  cases  Silicea  or  Calcarea. 

Beware  of  all  remedies  which,  in  their  application,  must  be  introduced  into 
the  ear.  It  is  a  great  mistake  to  think  that  the  ear  can  bear  more  than  the 
eye.  It  is  more  easily  affected,  only  that  the  effects  are  not  soon  apparent. 
Afifections  of  the  ear  are  generally  very  tedious  and  difficult  to  cure,  and 
sometimes  quite  incurable  ;  whereas  the  eye  can  endure  more,  and  recovers 
more  speedily. 


CHAP.  IT  AFFECTIONS  OF  THE  NOSE.  133 

CHAPTER   lY. 

AFFECTIONS  OF  THE  NOSE. 

Pains  and  Eruptions. 

For  pains  and  eruptions,  see  "  Toothache,  and  Eruptions." 

Swelling  of  the  Nose. 

Arnica^  when  the  nose  is  swelled  in  consequence  of  having 
received  a  blow,  or  when  the  swelling  occurs  without  any  appa- 
rent cause,  accompanied  by  itching,  and  pain  in  the  superior 
part  of  the  bone,  as  if  after  a  blow. 

Belladonna^  when  the  swelling  is  attended  by  catarrh,  when 
the  orifice  of  the  nostril  is  swollen  and  sore,  with  redness,  heat 
and  pains,  sometimes  extending  inwards,  with  burning,  pricking 
and  dryness  ;  the  smell  sometimes  very  sensitive,  sometimes  too 
weak ;  and,  where  it  does  not  suffice,  Hepar  after  it. 

Mercurius  in  watery  running  from  the  nose,  making  it  sore^ 
and  when  the  nose  is  red,  having  a  shining,  swollen  appearance, 
with  itching,  pains  in  the  bone  upon  pressure.  In  these  symp- 
toms it  is  better  to  begin  with  this  remedy,  and  to  give  Hepar 
afterwards,  or  perhaps  Belladonna. 

Hepar.,  in  swellings  occurring  in  persons  who  have  taken  much 
calomel ;  and  afterwards  Mercurius. 

Bryonia  is  sometimes  of  service  in  tedious,  painful  swelling. 

Sulphur.,  in  swelling,  with  black  specks  on  the  nose. 

Phosphoric  acid.,  in  chronic  swellings,  and  also  against  red 
specks  on  the  nose. 

Causticum.,  against  warts  on  the  nose. 
-    Rhus,  when  the  point  of  the  nose  is  red. 

Arsenicum^  when  it  presents  a  coppery  redness,  accompanied 
with  a  craving  for  spirituous  liquors. 

Rhus  and  Ruta^  for  coppery  redness,  brought  on  by  the  immo- 
derate use  ol  liquor  or  not. 

13 


131  TREATMENT  OF   DISEASES. 

Bleeding  of  the  Nose. 

Bleeding  of  the  nose  occurs  in  the  course  of  many  diseases,  and  frequently 
benefits  the  patient  considerably.  It  ought  not  to  be  interrupted,  unless  it 
is  too  violent  or  lasts  too  long.  Cold  water,  vinegar,  sponges,  corks,  brandy, 
tinder,  creosote,  &c.,  applied  inconsiderately,  may  have  a  very  injurious  effect. 
Filling  up  the  nose  is  always  useless ;  it  is  better  merely  to  compress  it,  and 
lo  see^whethcr  the  blood  stops,  or  whether  it  flows  into  the  throat. 

The  bleeding  may  be  stopped  by  extending  the  arm  which  is  on  the  same 
side  with  the  bleeding  nostril,  upwards  perpendicularly  over  the  bead,  though 
when  the  arm  is  taken  down  again  the  bleeding  is  liable  to  return. 

Arnica  is  the  best  remedy  for  bleeding  of  the  nose  occasioned 
by  a  blow,  fall,  or  any  external  injury,  and  also  when  it  is  pre- 
ceded by  itching  of  the  nose  and  forehead  ;  when  the  nose  feels 
hot,  and  the  blood  is  of  a  bright  red  color.  It  is  especially 
suitable  for  men. 

Pulsatilla,  for  women,  especially  those  of  a  mild,  quiet  dis- 
position, or  who  have  too  weak  a  flow  at  menstrual  periods,  and 
also  if  the  bleeding  takes  place  during  a  catarrh,  with  alternate 
running  and  stoppage  of  the  nostrils,  and  when  the  bleeding 
recurs  in  the  afternoon,  evening,  or  before  midnight. 

Aconite,  against  violent  bleeding,  brought  on  by  being  over- 
heated,  or  that  caused  by  determination  of  blood  to  the  head,  or 
by  drinking  wine;  it  is  particularly  applicable  to  persons  of  a 
pl'otlioric  habit,  with  fever,  flushed  face  and  strong  pulsation  of 
the  arteries  of  the  temples  and  neck. 

Cliina  in  enervated  and  debilitated  subjects  who  have  fre- 
quent and  long-continued  attacks  of  hemorrhage,  with  great 
})alenes3  of  the  face,  coldness  of  the  extremities,  convulsions,  &;c. 

Bryonia  against  prolonged  hemorrhage,  especially  in  warm 
WL-atlier,  from  overheating  or  drinking  wine ;  also  when  the 
bleeding  occurs  chiefly  at  night,  causing  the  patient  to  wake  out 
-''  sle.'p,  or  in  the  morning;  the  disposition  irritable  or  obsti- 
nate. 

Belladonna  is  frequently  of  service  after  or  in  alternation  with 
one  of  the  above  remedies;  when  the  hemorrhage  takes  place 
at  night,  or  returns  in  the  morning,  or  arises  from  over-heating, 
or  drmking  wine. 


CHAP.  IV.  AFFECTIONS   OF    THE   NOSE.  135 

Bhus,  if  the  nasal  hemorrhage  was  brought  on  by  great  exer 
tion,  overlifting,  straining,  &;c.,  and  is  worse  every  time  the 
patient  stoops. 

Crocus  for  bleeding  from  the  nose,  when  the  blood  is  very 
dark,  almost  black,  of  a  thick  viscid  character,  and  when  the 
hemorrhage  is  accompanied  hy  cold  sweat  on  the  forehead,  the 
disposition  being  at  the  same  time  very  variable,  laughing 
alternating  with  sadness. 

Nux  vomica,  bleeding  at  the  nose  which  returns  in  the  morn 
ing,  also  that  from  overheating,  drinking  wine,  &c.,  or  in  habitual 
drunkards.     Lachesis  may  also  be  required  in  tlie  latter  case. 

J/e?-c«rm6' when  bleeding  takes  place  at  night  during  sleep  and 
coagulates  immediately  in  the  nostrils  in  cone-shaped  clots. 

Gina  in  children  who  are  subject  to  worms,  or  when  the 
bleeding  is  brought  on  by  picking  and  rooting  at  the  nose. 

Sulphur  or  Carho  vegetabilis  will  frequently  be  found  bene- 
ficial in  persons  who  are  subject  to  repeated  attacks  of  nasal 
hemorrhage.     They  may  be  taken  once  or  twice  a  weelc. 

If  the  above  remedies  fail  in  stopping  the  hemorrhage  after  a  sufficient  time 
has  been  allowed  them  to  act,  benefit  may  be  derived,  especially  in  bleeding 
consequent  upon  over-heating  or  drinking  wine,  from  immersing  the  hands  in 
warm  water,  and  afterwards  keeping  quiet.  A  large  key  or  other  instrument 
of  irca  applied  cold  to  the  spine  will  often  stop  hemorrhage  from  the  nose. 

Although  plugging  the  nostrils  is  in  most  cases  unnecessary,  yet  when  the 
hemorrhage  becomes  alarming  in  consequence  of  great  loss  of  blood — the 
remedies  given  having  failed  to  check  it ;  or  where  the  blood  passes  back 
into  the  throat,  or  where  there  is  danger  of  suffocation,  it  may  be  resorted  to. 

The  posterior  outlet  may  bo  plugged  by  passing  threads  up  through  the 
nostrils  and  bringing  them  out  at  the  mouth,  fastening  a  small  piece  of  lint 
or  sponge  to  them  and  drawing  them  back  again.  'I'he  anterior  outlet  is 
easily  plugged  by  pushing  pieces  of  lint  or  sponge  into  it  with  a  probe  or 
small  stick. 

Polypus  of  the  Nose. 

A  pear-shaped  tumor  which  springs  from  the  lining  membrane  of  the  nose, 
is  called  a  polypus.  It  is  usuaUy  narrow  at  its  root  and  expanded  below, 
hence  its  name.     One  or  both  nostrils  may  be  the  seat  of  this  disease. 

In  consistence  it  is  in  some  instances  firm,  fiesh;^  and  very  solid,  in  others, 
extremely  soft  and  tender.  The  most  common  form  bears  in  consistence, 
shape,  color  and  size,  a  resemblance  to  the  common  oyster.  When  both 
nostrils  are  filled  with  the  disease,  the  patient  breathes  with  difficulty,  and 
with  a  peculiar  rattling  noise. 

In  the  treatment  of  polypus  the  remedies  wliich  have  been  used  with  most 


136  TREATMENT   OF   DISEASES. 

Buccoss  are  Calrarea,  Phoaphonis,  Staphv^agria,  Silicea,  and  Sanguinaria.    It 
ifi  always  best  to  consult  a  homoeopathic  physician. 

Ozoena. 

A  troublesome  ulceration  of  the  lining  membrane  of  the  nostrils,  attended 
with  fetid  discharge,  and  sometimes  followed  by  destruction  of  the  catilages, 
and  l)y  caries  of  the  bones  of  the  nose,  is  termed  ozoena.     Its   origin  is  pro- 
bably'in  most  instances  connected  with  syphilis.     In  other  instances,  however,  ' 
there  are  marks  of  a  purely  scrofulous  taint. 

One  of  the  most  troublesome  attendants  of  the  disease  is  the  accumulation 
of  thick  mucus  or  incrustations  which  sometimes  block  up  entirely  the  pas- 
sages of  the  nose. 

This  disease,  if  not  checked,  not  only  attacks  the  cartilages  and  bones  of 
the  nose,  but  extends  to  the  cheek.  If  the"  patient  should  recover  after  such 
ravages,  he  will  be  frightfully  disfigured. 

Arsenicum  or  Lyopoi/itnn  have  been  recommended,  the  former  when  the 
pains  are  very  severe  and  of  a  burning  and  throbbing  character ;  the  latter, 
when  the  discharge  is  thick  and  yellowish.     Consult  a  physician. 

Catarrh  or  Cold  in  the  Head.  ] 

Mercurius  is  a  principal  remedy  in  epidemic  catarrh, (influenza 
or  grippe,)  when  many  persons  are  affected  with  it  at  one  time; 
especially  if  there  is  constant  sneezing;  soreness  of  the  nose 
with  constant  watery  discharge ;  offensive  smell ;  profuse  per- 
epiration  at  night ;  the  catarrh  worse  in  the  morning,  and  also 
when  accompanied  by  fever ;  the  patient  does  not  like  to  be 
alone,  and  has  much  thirst,  feels  the  heat  uncomfortably,  yet 
cannot  bear  the  cold.  If,  after  twelve  bours  the  symptoms  are 
milder,  give  nothing  more ;  if  they  have  been  better  and 
become  worse  again,  give  Hepar.  It  is  especially  serviceable 
for  children,  and  catarrhs  caused  by  suppressed  perspiration 
with  fever  and  pains  in  the  different  parts  of  the  limbs. 

Hepar  may  be  given  instead  of  Mercurius  to  persons  who 
have  previously  taken  much  calomel :  and  also  when  the  catarrh 
is  renewed  by  every  breath  of  wind,  or  when  the  catarrh 
affects  only  one  nostril,  and  the  headache  is  increased  by  every 
movement.  If,  after  waiting  twelve  hours,  Hepar  does  not 
prove  effective,  give  Belladonna. 

Cepa  for  the  common  catarrh,  which  attacks  many  people  at 
the  same  time,  and  is  caused  by  wet,  windy  weather;  which 
commences  generally  on  the  left  side;   with  much  sneezing, 


CHAP.  IV.  AFFECTIONS   OF   THE   NOSE.  137 

mucli  running  of  the  nose,  which  is  inflamed  and  sore  down  to 
the  upper  lip ;  with  running  of  the  eyes,  headache,  cough,  thirst, 
heat,  pain  in  the  teeth  or  all  over,  worse  at  night  and  in  a  room, 
better  in  the  open  air  and  in  the  cold. 

Lacliesis  will  be  useful  in  catarrhs  of  the  severest  kinds,  witb 
profuse  watery  running  from  the  nose,  accompanied  with  great 
soreness  and  swelling. 

Arsenicum,  when  there  is  not  much  fever,  heat  or  thirst ;  the 
patient  is  restless,  particularly  at  night ;  drinks  often,  though 
but  little  at  a  time  ;  is  very  weak  and  easily  agitated ;  the  dis- 
charge acrid  and  corrosive;  excessive  soreness  of  the  nostrils 
and  violent  burning  of  the  nose,  both  internally  and  externally. 
Exercise  and  warmth  are  agreeable,  and  exposure  does  not 
aggravate  the  disease. 

Nux  vomica,  for  the  same  symptoms  as  Arsenicum,  when  the 
latter  causes  no  improvement  in  twelve  hours,  or  when  the 
catarrh  is  fluid  during  the  day,  and  dry  at  night;  the  mouth 
dry  and  parched  without  much  thirst;  tightness  of  the  chest 
and  constipation.  This  remedy  is  also  particularly  useful  in 
alternate  fever  and  chilliness,  especially  in  the  evening,  and 
also. when  there  is  great  heat  of  the  head  and  face. 

Ipecacuanha,  when  Arsenicum  or  Nux  vomica  appear  to  be 
indicated,  but  are  insufficient. 

Dulcamara,  when  the  patient  feels  better  when  in  motion 
and  worse  when  at  rest,  and  the  slightest  exposure  renews  tho 
obstruction. 

Pulsatilla  when  there  is  not  so  much  soreness  of  the  nose,  but 
the  patieat  is  at  once  deprived  of  appetite  and  smell ;  the  mucus 
discharged  is  thick  and  yellowish,  or  sometimes  green  and 
offensive. 

Euphrasia  is  serviceable  in  catarrhs  accompanied  by  a  dis- 
charge of  white  mucus  from  the  nose,  and  soreness  and  watery 
running  of  the  eyes. 

Ghamomilla  frequently  cures  catarrh  with  ulcerated  nose, 
chapped  lips,  one  cheek  being  pale  and  the  other  red,  with 
chilly  and  thirst. 

13* 


138  TREATMENT   OF  DISEASES. 

If  a  patient  is  subject  to  very  frequent  recurre.ice  of  catarrhs 
which  are  very  difficult  of  cure,  it  will  often  be  found  that  he 
eats  too  much  salt.  In  this  case  he  should  be  as  moderate  in 
the  use  of  salt  as  possible,  and  smell  now  and  then  sweet  spirits 
of  nitre. 

For  catarrh,  which  lasts  long  or  returns  again  and  again,  the 
nose  either  running  or  stopped  up,  take  Silicea  two  mornings  in 
succession. 

When  the  catarrh  has  been  supjyressed,  and  headache  is  the 
result,  give  Aconite,  and  if  the  catarrh  does  not  return  soon,  give 
Pulsatilla,  China,  or  Cepa.  When  there  is  difficulty  of  breath- 
ing^, give  Ipecacuanha  a  couple  of  times,  and  if  the  patient  does 
not  improve,  Bryonia;  let  the  patient  drink  hot  water,  with 
milk  and  sugar,  and  let  the  vapor  of  hot  water  pass  up  the  nos- 
trils.    If  none  of  these  medicines  afford  relief,  give  Sulphur. 

If  the  catarrh  is  connected  with  other  complaint?,  particularly  with  those 
mentioned  in  the  subsequent  chapters — such  as  affections  of  the  breast  or 
lungs,  hoarseness  or  cough,  look  under  these  respective  heads  for  the  nects- 
sary  remedies. 

Never  suppress  a  cold  either  by  cold  or  drugs;  it  is  always  a  purifying 
process.  Nobody  takes  cold  who  has  not  other  impurities  in  his  system.  One 
is  much  more  liable  to  catch  cold  after  eating  or  drinking  sharp,  superfluous 
or  indigestible  things.  Many  children  will  not  get  rid  of  a  cold  as  long  as 
they  indulge  in  too  much  sugar,  syrup  and  other  sweets.  There  are  whole 
families,  every  member  of  which  will  have  a  cold  in  the  head  for  three  days 
every  time  they  eat  of  roasted  goose 


CHAPTER    V. 

AFFECTIONS  OF  THE  CHEST. 

Hoarseness. 

Amono  the  common  domestic  remedies  for  hoarseness,  there  are  many  which 
are  decidedly  injurious  ;  and  others,  which,  if  they  do  good,  always  leave  after 
them  a  disposition  to  a  relapse.  Hoarseness,  when  it  returns  frequently,  is 
always  a  serious  complaint.  It  may  sometimes  be  relieved  by  mixing  rock- 
candy  with  the  yolk  of  a  fresh  raw  egg  and  taking  this  two  or 'three  times  at 
Dight ;  a  perfect  cure,  however,  can  best  be  effected  by  the  following  remedies 

Chamomilla,  especially  in  children,  if  there  is  hoarseness  with 


CHAP.  V.  AFFECTIONS   OF   THE   CHEST.  139 

catarrh,  tough  mucus  in  the  throat,  with  dryness,  buraing  and 
thirst;  the  temper  cross,  vexed  or  morose  and  taciturn. 

Nux  vomica^  in  persons  of  sulky,  quarrelsome,  obstinate  and 
headstrong  disposition,  against  a  rough,  deep,  dry  cough,  arising 
from  dryness  in  the  throat,  with  tightness  of  chest  and  sore 
throat,  the  mucus  not  loose,  attended  by  alternate  chills  and 
heat. 

Pulsatilla,  for  hoarseness  accompanied  with  stinging  and  sore- 
ness in  the  throat  and  palate  ;  pain  when  swallowing  ;  catarrh, 
with  much  yellow,  green  and  offensive  discharge ;  a  loose  cough 
and  pain  in  the  chest,  with  chills ;  without  thirst ;  and  with  a 
capricious  appetite.  It  is  particularly  applicable  when  the 
patient  has  been  several  days  unable  to  raise  his  voice;  if  Pul- 
satilla does  not  suffice,  give  Sulphur. 

Mercurius  is  the  principal  remedy  when  the  voice  is  hoarse 
and  rough,  with  burning  and  tickling  in  the  larynx — a  disposi- 
tion to  perspire,  which  does  not,  however,  relieve  the  patient, 
and  when  every  breath  of  air  aggravates  the  case. 

Capsicum  in  hoarseness  accompanied  with  itching  and  obstruc- 
tion of  the  nose,  or  with  cough  producing  pain  in  different 
places. 

Rhus,  if  there  is  hoarseness  with  roughness  of  the  throat; 
sneezing  and  discharge  of  mucus  from  the  nose,  and  difficulty 
of  breathing. 

Apium  virus,  if  the  throat  is  very  tender,  not  only  rough  but 
dry,  with  difficult  breathing  only  after  moving. 

Sambucus  against  hoarseness  with  deep,  hollow,  dry  cough, 
which  occasions  catching  of  the  breath,  or  with  yawning,  uneasi- 
ness and  thirst. 

Carho  verfetahilis  against  protracted  hoarseness,  worse  morning 
and  evening,  and  after  talking ;  it  is  also  efficacious  in  hoarse- 
ness and  cough  following  mdasles. 

Silicea  against  hoarseness  accompanied  by  tedious  catarrh. 

Prosera,  in  hoarseness  with  hollow  and  deep-seated  cough. 

Causticum,  in  obstinate  cases  of  hoarseness,  sometinc  es  com  ■ 


140  TREATMENT   OF   DISEASES. 

bined  with  catarrh ;  soreness  of  the  chest  and  occasionally  of 
the  throat. 

There  is  a  chronic  form  of  hoarseness  to  which  public  speakers,  especially 
cler"-ymen,  are  very  liable,  (hence  it  has  been  named  "  Dysphonia  clericorum," 
or  "  Parsons'  sore  throat,")  which  is  often  a  very  obstinate  and  intractible 
disease.  The  best  remedies  for  it  are  Causticum,  Calcarea,  Carho  vegetahilis, 
Heptir,  Lachesis,  Pliospliorvs,  Sulphur.  Mcrcurius,  Spongia,  and  Silicea. 

If  there  is  in  man  a  tendency  to  the  frequent  recurrence  of  hoarseness,  the 
beard  about  the  throat  should  be  allowed  to  grow,  as  that  seems  to  afford  the 
best  protection  to  the  delicate  organs  of  the  voice,  in  those  exposed  to  much 
variety  of  temperature  and  to  the  undue  exercise  of  their  voices.  It  is  to  be 
remarked  that  clergymen,  public  singers  and  actors,  who  are  chiefly  liable  to 
this  disease,  are  at  the  same  time,  usually,  close  shavers,  besides  having  to 
strain  their  voices  ;  whereas  the  disease  seems  to  be  much  less  frequent  among 
public  speakers  who  do  not  use  the  razor  beneath  their  chin.  Of  course,  we 
would  not  have  it  be  supposed  that  a  confirmed  case  of  dysphonia  would  be 
cured  by  allowing  the  beard  to  grow,  though  we  are  fully  persuaded,  that  the 
shaving  of  the  beard  may  operate  as  an  exciting  cause  in  the  production  of 
this  most  annoying  affection. 

Cough. 

Cough  may  be  either  combined  with  cold  in  the  head,  being  more  or  less  to 
the  chest  what  cold  in  the  head  is  to  the  nose ;  or  it  may  arise  from  other 
diseases.  In  the  former  case  the  appropriate  medicine  should  be  selected 
from  among  those  recommended  for  cold  in  the  head  ;  in  the  latter,  the  re- 
spective symptoms  with  which  the  disease  is  attended,  must  be  taken  into 
account.  For  instance,  if  there  is  a  dry,  hacking  cough,  violent  pain  in  the 
chest,  which  is  worse  when  breathing,  if  the  patient  was  taken  with  a  chill 
followed  by  much  heat,  the  pulse  quick  and  hard  :  there  is  inflammation  in  the 
chest,  and  you  have  to  administer  the  remedies  prescribed  for  that  complaint. 

The  medicines  which  are  here  first  mentioned,  will  seldom  cure  a  cough  of 
long  standing;  you  must  have  recourse  to  those,  the  effects  of  which  are 
more  enduring,  and  which  are  described  tow-ards  the  end  of  the  list.  It  fre- 
quently happens  that  an  obstinate  cough  can  be  cured  only  by  a  homoeopathic 
practitioner ;  and  sometimes  it  is  a  symptom  of  a  disease  which  is  already  in- 
curable. 

Nux  vomica  should  be  given  for  a  dry  cough,  which  is  caused 
by  a  rough,  scraping,  acrid  sensation,  and  itching  in  the  palate; 
v'hen  it  is  lasting  and  weakening,  with  pain  as  if  the  head  were 
oeing  rent  asunder,  or  a  sensation  as  if  bruised  in  the  upper  part 
of  the  abdomen,  with  pain  afterwards  under  the  ribs,  particu- 
larly when  the  cough  awakens  the  patient  early,  or  is  then 
worse,  or  only  a  little  mucus  is  discharged  with  much  trouble. 
Also,  when  a  slight  cough  lasts  the  whole  day,  with  pain  in  the 
pit  of  the  throat,  and  is  worse  in  the  evening,  but  better  during 
the  night;  when  during  the  night  the  breathing  is  oppressed, 


CHAP.  V.  AFFECTIONS   OF   THE    CHEST.  141 

and  there  is  a  feeling  of  weight  Tipoii  the  chest,  and  the  patiei  t 
has  a  heated  and  parched  mouth.  For  energetic  and  plethoric 
patients,  who  drink  much  coffee  and  spirituous  liquors,  Nnx 
vomica  is  particularly  suitable.  It  also  answers  for  a  dry 
exhausting  cough,  which  is  worse  during  the  night  with  trifling 
expectoration  in  the  morning,  or  worse  from  reading,  thinking 
and  exercise. 

Ghamomilla  should  be  given  for  a  similar  dry  cough,  which 
is  worse  at  night,  even  during  sleep,  and  arises  from  a  tickling 
in  the  pit  of  the  throat — something  rising  in  the  throat  and 
taking  away  the  breath — particularly  in  children,  and.  during 
the  winter  after  taking  cold.  Also  for  a  tickling  cough,  which 
is  caused  by  speaking,  in  the  morning  and  evening,  but  which 
ceases  after  the  patient  gets  warm  in  bed ;  also  when  in  the 
morning  some  tough,  bitter  mucus  is  thrown  up. 

Hyoscyamus  answers  for  a  dry  cough,  which  is  worse  at  night, 
and  prevents  sleeping ;  also  when  lying  down,  with  tickling  in 
the  wind  pipe,  or  when  the  cough  comes  in  spasms,  sometimes 
attended  with  stitches  over  the  eyes,  or  with  soreness  in  the 
muscles  of  the  abdomen;  a  rattling  noise  in  the  throat,  caused 
by  breathing  whilst  there  is  mucus  in  the  windpipe. 

Ipecacuanha  frequently  answers  for  children — even  for  the 
smallest — when  on  coughing  the  mucus  almost  suffocates  them; 
when  the  cough  is  spasmodic,  or  affects  them  so  much  that  they 
can  scarcely  breathe,  and  they  become  purple  in  the  face,  and 
the  limbs  quite  stiff;  give  it  dissolved  in  water,  a  teaspoonful 
every  ten  to  fifteen  minutes  until  better;  the  same  remedy 
answers  when  there  is  a  tickling  sensation  in  the  larynx,  with 
contraction,  the  cough  quite  dry,  or  trifling  expectoration  of 
mucus  of  an  offensive  taste — or  when  it  causes  loathing,  nausea 
and  vomiting  of  mucus;  when  it  is  attended  with  pain  in  the 
abdomen,  particularly  about  the  navel,  or  a  pressure  upon  the 
bladder,  as  if  the  urine  could  not  pass — or  there  is  a  throbbing 
in  the  head  and  pit  of  the  stomach,  and  soreness  of  the  chest-, 
after  the  cough,  shortness  of  breath  and  perspiration  of  the  fore- 
head ;  walking  in  the  cold  air  excites  the  cough  afresh. 


142  TREATMENT   OF   DISEASES. 

Bellad'.nna  for  a  similar  spasmodic  cough,  which  does  not 
allow  the  patient  to  recover  his  breath,  which  shakes  the  whole 
body,  and  is  excited  by  a  constant  insupportable  tickling  in  the 
larynx,  without  any  phlegm  on  the  chest;  or  as  if  caused  by 
something  like  down  in  the  throat,  producing  a  splitting  sensa- 
tion in  the  head,  with  a  feeling  of  pressure  in  the  neck,  as  if  it 
were  breaking,  or  f  >r  a  cough  attended  with  a  trifling  discharge 
of  mucus,  mixed  with  blood,  with  stitches  in  the  chest  and  on 
the  left  side  under  the  ribs ;  tearing  pains  in  the  chest ;  short, 
quick,  difficult  breathing ;  chapping  of  the  lips,  red  face,  and 
pain  in  the  head;  or  when  the  attacks  terminate  with  sneezing, 
accompanied  by  catarrh,  or  stinging  pain  in  the  hips  and  in  the 
abdomen,  as  if  something  were  giving  way. 

Mercurius  for  a  dry  cough,  which  exhausts  and  convulses  the 
patient  much,  particularly  at  night;  or  a  tickling  cough  before 
foiling  asleep ;  sometimes  attended  with  spitting  of  blood, 
shooting  pains  in  the  chest ;  in  the  case  of  children  frequently 
attended  by  bleeding  of  the  nose,  inclination  to  vomit,  pains  as 
if  the  chest  and  head  were  going  to  burst,  accompanied  by 
hoarseness,  running  catarrh,  or  diarrhoea. 

Carlo  vegetahills  for  spasmodic  cough,  coming  on  several  times 
during  the  day  or  evening,  attended  with  retching  and  vomit- 
ing, heat  and  breaking  out  of  perspiration,  soreness  of  the  chest, 
white,  gray  or  yellow  expectoration,  coughing  up  of  blood,  with 
burning  pains  in  the  chest;  pain  in  the  larynx,  as  from  ulcera- 
tion, shooting  pains  through  the  head. 

Capsicum  for  a  dry  cough,  worse  in  the  evening  and  during 
the  night,  and  which  sometimes  excites  vomiting ;  pains  shoot- 
ing through  different  parts  of  the  body,  also  causing  rending 
headache;  sometimes  accompanied  by  oppressive  pains  in  the 
throat  and  ears,  or  with  drawing  pains  from  the  chest  to  the 
throat,  stitches  in  the  chest  and  back,  or  pressure  on  the 
bladder  and  shooting  pains  in  that  region,  or  stinging  and 
tearing  pains  from  the  hips  to  the  knees  and  feet. 

Apinm  virus  for  a  cough  which  is  caused  by  a  tickling  in  the 
pit  of  the  throat,  worse  before  midn'ght,  after  lying  down,  or 


CHAP,  V.  AFFECTIONS   OF  THE   CHEST.  143 

after  sleeping;  which  is  better  as  soon  as  any  phlegm  is  raised ; 
with  headache  and  shortness  of  breath  ;  after  a  rash,  particularly 
nettle-rash,  which  had  preceded  it  or  which  did  not  break  out 
completely. 

Rhus  sometimes  for  a  dry,  short  night-cough,  commencing 
with  a  tick.ing  in  the  chest,  which  causes  agitation  and  astlima, 
particularly  in  the  evening  and  before  midnight,  whereby  the 
head  and  chest  are  shaken  a  great  deal ;  or  with  tightness  and 
shooting  pain  in  the  chest,  pains  in  the  stomach,  sometimes 
stitches  in  the  thighs ;  particularly  when  the  air  makes  it  worse, 
and  heat  and  exercise  affect  it  favorably ;  also  for  cough  with  a 
taste  of  blood  in  the  mouth. 

Nux  moschata  for  a  cough,  which  gets  much  worse  after  one 
becomes  warm  in  bed  ;  for  a  dry  cough  with  shortness  of  breath  ; 
after  taking  cold  from  wet  feet,  or  standing  in  the  water ;  after 
being  overheated  by  hard  working;  particularly  for  those  who 
bec<jme  easily  hoarse  when  walking  against  the  wind  and  who 
have  a  cool,  dry  skin,  and  like  warmth,  in  general  for  incon- 
stant people. 

Cma  for  a  dry  cough,  at  times  accompanied  by  expectoration 
of  mucus ;  in  children  who  start  suddenly  as  if  they  were  losing 
their  senses ;  afterwards  with  anxious  gasping  for  breath,  moan- 
ing and  paleness,  or  a  hoarse,  hacking  cough  every  evening, 
particularly  in  children  who  have  worms;  oi-  at  the  same  time 
running  catarrh,  with  a  burning  sensation  in  the  nose,  and  vio- 
lent sneezing,  which  makes  them  cry. 

Ignatia  for  a  dry  cough,  during  the  day  as  well  as  by  night, 
with  a  sensation  as  if  there  were  something  like  down  in  the  pit 
of  the  throat;  worse  towards  evening,  with  an  irritation  increas- 
ing with  the  cough,  or  with  a  feeling  of  tightness  in  the  pit  of 
the  throat,  with  a  ruiming  catarrh;  in  persons  who  have  been 
affected  by  grief,  or  when  it  grows  worse  every  day  after  meals, 
in  the  evening  after  lying  down,  and  in  the  morning  after 
getting  up. 

Euphrasia  or  Cepa  for  a  cough  with  catarrh ;  heat ;  running  and 
so'^eness  of  the  nose;  red,  running  eyes;  shortness  of  breath; 


144  TREATMENT   OF   DISEASES. 

much  phlegm  on  the  breast;  chilliness.  Euphrasia  if  worse  during 
the  flny,  particularly  in  the  morning-,  no  cough  in  the  night,  worse 
in  the  open  air,  head  and  eye  symptoms  worse  on  the  right  side. 
Cepa  if  the  cough  is  worse  towards  ev.ening  and  during  the 
night ;  if  the  shortness  of  breath  comes  on  in  the  middle  of  the 
night;  head  and  eye  symptoms  worse  on  the  left  side;  better 
in  the  open  air.  I 

Pulsatilla  when  the  cough  is  dry  in  the  beginning  for  half  a 
day,  with  retching ;  then  attended  with  expectoration  of  mucus, 
•which  is  discharged  easily ;  sometimes  streaked  with  blood  ;  in 
the  morning  much  yellow,  salt,  bitter,  disgusting  expectoration, 
sometimes  accompanied  by  retching;  the  windpipe  at  the  same 
time  feeling  rough,  and  the  abdomen  sore  as  from  a  bruise,  or 
there  are  shooting  pains  in  the  arm,  shoulder  and  back ;  or  the 
urine  escapes  whilst  coughing. 

Bryonia  answers  for  a  dry  and  for  a  moist  cough ;  for  a  dry 
one,  when  commencing  with  a  tickling  in  the  throat,  or  when 
the  fit  comes  on  after  eating,  and  is  so  bad  as  to  cause  vomiting; 
or  for  a  cough  which  begins  as  soon  as  the  patient  gets  into  a 
warm  room ;  or  with  bad  stitches  in  the  side,  and  afterwards  a 
trifling  spitting  of  blood  ;  with  a  yellowish  expectoration ;  when 
every  fit  of  coughing  is  felt  in  the  head,  or  accompanied  with 
shooting  pains  in  the  head,  throat  and  chest. 

China  when  there  is  an  inclination  to  a  short  hacking  cough, 
as  if  caused  by  sulphur,  without  any  discharge  of  mucus;  which 
is,  however,  in  the  throat,  and  causes  a  whistling  noise  ;  the 
expectoration  which  follows  is  streaked  with  blood,  with  press- 
ing, stinging  pains  in  the  chest  and  the  windpipe,  or  a  clear, 
tough  mucus,  which  is  difficult  too  loosen,  with  pains  in  the 
shoulders,  sometimes  accompanied  by  vomiting  of  bile  ;  and  for 
cough  after  hemorrhage  from  the  lungs. 

Arnica  for  cough  with  expectoration  of  mucus  and  clotted 
blood,  or  light,  frothy  blood,  at  the  same  time  asthma;  the  ribs 
and  the  abdomen  feeling  as  if  bruised  and  lacerated,  shooting 
pains  in  the  head,  the  chest,  the  abdomen,  and  the  small  of  the 


CHAP.  V.  AFFECTIONS   OF   THE   CHEST.  145 

back;  also  for  moist  and  dry  cough  in  children,  early  in  the 
morning  or  when  asleep,  with  weeping  and  screaming. 

Veratrum  for  a  deep  hollow  cough,  as  if  proceeding  from  the 
abdomen,  with  griping,  salivation,  blue  face,  involuntary  dis- 
charge of  urine,  violent  pains  in  the  side,  and  at  the  same  time 
difficulty  of  breathing  and  great  weakness,  sometimes  accom- 
panied by  shooting  pains  which  pass  downwards  through  the 
abdomen,  with  a  sensation  as  if  a  rupture  was  about  to  take 
place. 

Arsenicum  for  a  moist  cough  with  but  little  expectoration, 
which  is  tough,  lying  on  the  chest  and  causing  asthma;  cough- 
ing every  time  after  drinking  ;  for  cough  during  the  night,  with 
spitting  of  blood,  and  a  burning  beat  all  over  the  body,  want  of 
breath,  extreme  fatigue  and  weakness;  or  every  evening  dry 
cough,  which  is  very  fatiguing;  with  oppression  of  tbe  cliest 
when  going  up  stairs  and  in  the  cold  air;  also  palpitation  of  the 
heart  and  agitation  during  the  night. 

Dulcamara  for  a  moist  cough,  particularly  after  taking  cold, 
with  hoarseness,  sometimes  accompanied  with  spitting  of  light 
red  blood  during  the  night;  or  a  whooping,  barking  coigh, 
excited  by  deep  breathing;  coughing  from  a  cold,  aggravated 
by  being  in  a  room,  and  by  lying  still ;  better  when  moving. 

Drosera  for  a  moist  cough  or  for  a  dry  one,  accompanied  by 
hoarseness,  pain  in  the  chest  and  under  the  ribs,  so  that  the 
patient  is  obliged  to  hold  the  painful  part  with  his  hands ; 
sometimes  attended  by  retching  and  griping  in  the  abd(3men, 
when  the  expectoration  is  tardy;  vomiting  of  food,  after  which, 
of  phlegm  and  water:  discharge  of  bitter,  purulent  matter;  or 
with  oppression,  as  if,  while  coughing,  the  breath  remained  in 
the  chest,  so  that  either  coughing  or  speaking  seems  impossible. 

Staphisagria  for  cough  with  expectoration  of  yellow  mucus, 
resembling  pus,  particularly  during  the  night,  with  pains  as  if 
caused  by  ulceration  under  the  breast-bone,  collection  of  water 
in  the  mouth,  occasional  spitting  of  blood  preceded  by  a  feeling 
of  scratching:  in  the  breast,  and  involuntary  discharge  of  urine. 

Phosphoric  acid^  for  coughs  with  expectoration,  great  hoarse- 
/  14 


146  TREATMENT   OF   DISEASES. 

ness,  coughing  occasioned  by  a  tickling  in  the  pit  of  the 
stomach  or  of  the  throat,  dry  in  the  evening,  in  the  morning* 
attended  by  a  white  or  yellow  discharge ;  cough  with  oppres. 
sive  pains  in  the  chest,  and  expectoration  of  pus ;  when  cough- 
ing, a  rending  headache,  inclination  to  vomit,  and  burning  ia 
the  throat  and  chest. 

Silicea,  for  tedious  cough,  with  expectoration  of  much  phlegm, 
tra*nsparent  lumps,  or  yellow  pus,  with  a  pressure  on  the  chest, 
so  convulsive  as  to  cause  pain  in  the  throat  and  abdomen ;  or  a 
deep,  hollow  cough,  with  spitting  of  blood  ;  dry  cough,  with 
pain  and  soreness  of  the  chest ;  or  a  cough  which  threatens  to 
suffocate  the  patient  in  the  night,  or  with  asthma  and  emaciation. 

Sulphur,  for  tedious  dry  cough  from  tickling  in  the  throat, 
coughing  with  contraction  of  the  chest,  and  retching;  only 
during  the  night,  preventing  the  patient  from  sleeping ;  or  dry 
during  the  night,  but  during  the  day  attended  by  yellowish 
expectoration,  or  thick  mucus,  pus  and  blood ;  when  coughing, 
single  stitches  in  the  chest  or  under  the  ribs  on  the  right  side^ 
feeling  as  if  the  chest  were  about  to  burst  when  coughing  or 
sneezing;  the  breast  tight  and  full,  difiiculty  of  breathing, 
whistling  and  rattling  in  the  chest,  palpitation  of  the  heart,  the 
patient  obliged  to  sit  up  during  the  night;  or  when  the  cough 
is  attended  vy  a  rending  pain  in  the  head,  blackness  before  the 
eyeS;  heat  in  the  head  and  face,  but  cold  hands. 

Calcarea,  f  )r  tedious  cough,  caused  by  a  tickling  as  from  down 
in  the  throat,  so  violent  in  the  evening  and  during  the  night 
that  every  vein  throbs,  or  in  the  night,  during  sleep,  dry  cough 
with  pain,  or  rattling  or  rumbling  in  the  chest,  particularly  in 
very  fat  children,  where  Ipecacuanha  suits,  but  does  not  sufl&ce; 
for  cough  with  copious  expectoration,  particularly  during  the 
day,  lumpy,  purulent,  yellow,  greenish,  brown,  so  offensive  as 
to  cause  vomiting  ;  when  coughing,  a  stitch  in  the  side  and  chest 
and  bui'ning  in  the  latter ;  tearing  and  shooting  pain  in  the  head  ; 
also  a  pricking  pain. in  the  side  when  breathing  deeply,  when 
moving  and  bending;  in  the  evening,  heat,  chills  and  thirst, 


CHAP.  V.  AFFECTIONS   OF   THE   CHEST.  147 

perspiration  during  the  night,  particuhu'ly  on  the  breast,  great 
weakness,  and  much  anxiety  respecting  the  malady. 

Lachesis,  for  cough  excited  by  pressing  the  hand  upon  the 
chest,  the  patient  unable  to  bear  anything  on  the  neck,  coughs 
during  the  night  in  his  sleep ;  or  feels  a  tickling  in  the  throat ; 
the  whole  chest,  up  to  the  shoulders,  feeling  sore,  with  stitches 
in  the  side,  and  spitting  of  blood ;  or  coughing  as  if  something 
liquid  had  got  into  the  windpipe ;  or  violent  cough  from  ulcers 
in  the  throat,  with  retching,  hawking  up  of  phlegm,  and  much 
saliva  in  the  mouth  ;  difficulty  in  expectorating,  the  cough  bad 
after  meals,  after  sleeping  and  after  rising ;  at  the  same  time 
pain  in  the  throat,  ears,  head  and  eyes. 

Causticum  for  a  protracted,  dry,  short  cough,  or  for  a  hollow 
one,  with  excoriating  or  burning  pain  in  the  chest  and  in  the 
windpipe;  scraping  in  the  throat  and  rattling  in  the  chest ;  pain 
in  the  hip,  as  if  going  to  burst  open,  or  other  rheumatic  pains ; 
the  urine  escapes  while  coughing. 

For  tedious  coughs,  choose  particularly  among  the  remedies 
recommended  last:  Causticum, Lachesis,  Calcarea,  Sulphur,  Silicea 
and  Phosphoric  acid;  but  should  they  not,  though  agreeing  with 
the  symptoms,  effect  a  permanent  cure,  use  Staphisagria,  Dulca- 
mara, Arsenvyam  or  Carho  vegetabilis.  The  remaining  remedies 
are  most  efficacious  in  coughs  which  are  not  of  long  standing. 

When  a  cough,  which  appears  suddenly,  is  accompanied  by 
tension  in  the  chest,  difficulty  of  breathing,  pain  in  the  throat 
and  windpipe,  attended  with  soreness  and  rawness,  especially  if 
after  coughing  at  night  a  burning  sensation  remains,  the  voice 
rough  and  hoarse,  fever,  and  a  quick,  hard  pulse,  always  com- 
mence by  giving  Aconite,  and  from  five  to  six  hours  after,  or  the 
following  morning,  the  suitable  remedies  for  the  cough. 

But  when  the  cough  is  very  exhausting  and  suffocating,  with 
much  phlegm  on  the  chest,  give  first  Ipecacuanha,  and  a  couple 
of  hours  after,  another  suitable  remedy. 

When  the  cough  is  rough  and  hollow,  and  there  is  barking,  or  whistling 
and  wheezing,  particularly  with  children,  examine  what  is  said  of  hooping- 
cough,  croup,  and  suffocating  cough,  and  compare  the  remedies  there  pre- 
scribed with  those  indicated  here. 


148  TREATMENT  OF  DISEASES. 

In  recent  coughs,  with  cnlil  in  the  hoad,  it  is  always  best  to  keep  warm,  and 
guard  against  further  cold  for  a  few  days  ;  but  this  ought  not  to  be  carried  to 
excess,  or  the  patient  will  become  more  and  more  sensitive  to  cold.  For 
children,  it  is  much  better  to  come  out  every  fair  day,  and  to  be  washed  daily 
in  cold  water.  Children  who  are  liable  to  get  their  feet  wet  should  wear 
water-proof  goloshes,  or  gutta-percha  soles.  A  person  affected  with  cough 
should  occupy,  not  a  cold,  damp  room  which  lies  to  the  north  or  north-east, 
but  a  dry  room  facing  the  south. 

Those  who  are  very  liable  to  catarrhs  and  coughs,  or  sore  throat,  will  be 
benefitted  much  by  washing  and  rubbing  the  whole  body  every  day  ;  it  is 
sometimes  of  use  to  wear  a  black  or  white  silk  ribbon  around  the  neck,  or  a 
silk  stock  fitting  closely  around  the  neck  ;  cotton  should  be  worn  next  to  the 
skin,  but  no  wool  or  flannel,  which  is  only  suitable  for  sailors  and  others  who 
are  frequently  drenched  to  the  skin  by  the  rain. 

In  cases  of  cough,  particularly  of  children,  sweet  things,  as  rock-candy  or 
figs,  may  be  allowed.     Gum  arable  likewise. 

Never  refuse  cold  water  to  a  person  who  suffers  from  cough,  although  it 
should  make  the  cough  worse  every  time  ;  and  force  no  one  to  take  warm  and 
intoxicating  drinks — it  is  a  practice  which  has  sent  many  a  patient  to  the 
grave,  and  subjected  others  to  long  and  severe  tortures. 

Hooping  Cough. 

This  affection  has  been  divided  into  three  stages,  the  Jirnt  or  febrile  stago 
resembling  ordinary  catarrh,  attended  with  chilliness,  slight  fever,  depression, 
increased  flow  of  tears,  sneezing  and  discharge  from  the  nose,  along  with  a 
dry,  fatiguing  cough,  which  returns  by  fits. 

The  duration  of  this  stage  is  various — it  may  last  for  a  few  days  only,  or 
may  continue  for  weeks.     It  seldom,  however,  exceeds  a  foi'tuight. 

In  the  second — the  nervous  and  spasmodic  or  convulsive  stage — the  char- 
acteristic symptoms  of  the  disease  present  themselves. 

The  cough  becomes  excessively  violent  and  distressing  ;  the  patient,  feeling 
its  approach,  runs  to  lay  hold  of  some  object  to  support  himself  until  the 
paroxysm  is  ended.  These  occur  more  frequently  at  night,  and  consist  of  a 
series  of  forced,  quick  and  unequal  expirations,  which  follow  each  other  so 
rapidly  that  inspiration  is  impossible.  The  face  becomes  swollen  and  livid  ; 
the  tears  are  discharged  copiously;  the  veins  of  the. neck  are  prominent;  a 
copious  perspiration  breaks  out,  and  suffocation  appears  imminent.  Soon, 
however,  short,  imperfect  inspirations  are  effected,  and  then  a  long,  slow  and 
laborious  inspiration,  accompanied  by  a  peculiar  noise,  which  has  been  com- 
pared to  a  w/ioop,  and  from  which  the  di-ease  takes  its  name.  The  paroxysms 
sometimes  succeed  each  other  every  five  or  ten  minutes,  at  others  not  more 
than  four  or  five  occur  during  twenty-four  hours.  They  are  usually  terminated 
by  a  fit  of  coughing  and  discharge  of  ropy  mucus,  or  by  a  fit  of  vomiting.  It 
is  not  an  uncommon  occurrence  for  blood  to  be  discharged  from  the  nose,  and 
occasionally  from  the  mouth  and  ears,  during  the  paroxysm,  and  the  eyes  are 
also  frequently  injected  with  it. 

The  duration  of  this  period  is  various ;  sometimes  it  terminates  in  two  or 
three  weeks,  at  others  lasting  for  months.  The  average  is  perhaps  from  two 
to  four  weeks. 

The  third  stage,  or  the  stage  of  drcUne,  is  made  known  by  the  paroxysms 
growing  shorter  and  shorter,  and  less  violent  and  frequent ;  the  whoop  gradu- 


CHAP.  V.  AFFECTIONS  OF  THE   CHEST.  149 

ally  disappears,  and  the  cough  does  not  differ  from  that  of  ordinary  catarrh, 
and  gradually  ceases. 

Hooping  cough  is  almost  entirely  a  disease  of  childhood,  and  one  which 
very  few  individuals  escape.  It  usually  prevails  as  an  epidemic,  and  is  by  the 
majority  of  physicians  acknowledged  to  be  contagious.  It  is  probably  most 
easily  communicated  in  the  second  stage,  after  the  disease  has  become  fully 
formed,  and  during  the  decline. 

Aconite  when,  at  the  commencement  of  the  disease,  the  cough 
is  dry  and  whistling;  accompanied  by  fever,  or  by  sore  throat , 
the  patient  complains  of  a  burning  pain  in  the  larynx,  and  some- 
times points  to  it  with  the  finger. 

Dulcamara,  if  the  attack  was  apparently  brought  on  by  expo- 
sure to  wet  or  dampness;  the  cough  loose  and  expectoration 
copious,  accompanied  by  hoarseness. 

Pulsatilla,  for  loose  cough,  followed  by  inclination  to  vomit 
or  vomiting,  also  with  sneezing,  weakness  of  the  eyes,  increased 
running  of  tears,  and  slight  hoarseness. 

Nux  vomica.  Cough  dry,  accompanied  by  vomiting  and  great 
agitation,  blueness  of  the  lace,  fear  of  suffocation,  and  sometimes 
bleeding  from  the  nose  and  eyes;  the  cough  coming  on  particu- 
larly after  midnight,  and  lasting  till  morning 

Ipecacuanha  may  advantageously  follow  Nux  vomica,  especially 
if  there  still  appears  to  be  great  danger  of  choking,  with  blue- 
aess  of  the  face,  anxiety,  &c. 

Belladonna,  if  in  the  beginning  the  cough  is  dry  and  hollow 
v^r  harsh  and  barking,  worse  at  night,  with  congestion  to  the 
head,  and  headache  or  sore  throat. 

Mercurius.  Cough  mostly  at  night,  and  occurring  in  two  suc- 
cessive paroxysms  which  follow  each  other  in  quick  succession, 
after  which  there  is  a  considerable  interval  of  repose;  also  for 
cough  with  vomiting  and  bleeding  at  the  nose,  the  blood  soon 
coagulates;  perspiration  at  night,  with  great  sensitiveness;  it 
is  especially  suitable  for  children  who  have  suffered  from  worms. 

Bryonia  and  Phosphorus  are  serviceable  when  the  hooping- 
cough  is  complicated  with  disease  of  the  chest,  with  pain, 
fever,  &c. 

Jn  the  second  or  convulsive  stage,  Veratrum,  Drosera,  Chiria, 
Carlo  vegdahilis  and    Cuprum  will  be  found  of  most  benefit ; 

14* 


150 


TREATMENT  OF   DISEASES. 


sometimes  it  may  be  necessary  to  alteraate  them  with    Nux 
vomica,  or  some  of  the  foregoing  remedies. 

Veratrum  acts  quickly,  and  may,  in  most  cases,  be  tried  first. 
Give  two  or  three  globules  of  it  immediately  after  the  paroxysm, 
and  wait  until  the  next;  if  the  paroxysms  continue  as  severe  as 
at  first,  or  grow  worse,  give  the  same,  and  then  wait  from 
twenty-four  to  thirty-six  hours,  or  as  long  as  the  case  continues 
to  improve ;  when  it  gets  worse  again,  give  another  remedy. 
It  will  be  especially  indicated  when  there  is  great  weakness, 
fever,  cold  perspiration,  particularly  on  the  forehead,  with  quick, 
weak  pulse  and  much  thirst.  And  also  when,  during  the  par- 
oxysm, there  is  involuntary  discharge  of  urine,  or  when  there 
are  pains  in  the  chest,  the  abdomen  and  the  groin ;  when  between 
the  paroxysms  the  patient  is  not  very  lively,  and  shuns  exercise ; 
when  the  neck  is  so  weak  that  it  can  hardly  support  the  head  ; 
when  there  is  great  chilliness  and  much  thirst,  and  no  inclina- 
tion to  speak  ;  also  when  the  body  is  covered  with  a  dry  and 
scattered  eruption,  or  the  eruption  appears  on  the  hands  and 
face  only.  After  Verairum,  Drosera  or  Garho  vegelahilis  generally 
answers  best. 

Drosera  is  to  be  administered  the  same  as  Veratrum,  in  two 
successive  doses,  then  wait,  at  most,  two  or  three  days  ;  if  the 
patient  improves,  wait  as  long  as  he  continues  to  get  better ; 
when  this  ceases  to  be  the  case,  select  another  remedy. 
>  It  will  be  found  most  serviceable  when  the  patient  is  worse  at 
rest  than  when  in  motion;  when  the  chills  are  not  accompanied 
but  followed  by  thirst, — when  the  perspiration  is  not  cold,  but 
rather  warm,  and  occurs  only  at  night ;  or  when  the  cough  is 
loud  and  hoarse,  the  paroxysms  ver}^  violent,  and  either  unac- 
companied by  fever,  or  witli  decidedly  marked  fever,  chills  and 
heat,  but  not  for  slow  fever,  as  mentioned  under  Veratrum. 

Cina  is  most  suitable,  when  during  the  cough  the  children 
become  quite  stiff,  and  after  the  paroxysms  there  is  a  gurgling 
noise,  which  appears  to  descend  from  the  throat  into  the  abdo- 
men, and  also  in  children  affected  with  worms,  when  there  is  a 


CHAP.  V.  AFFECTIONS   OF   THE    CHEST.  151 

disposition  to  pick  the  nose,  witli  griping  in  tlie  abdomen,  itch- 
ing of  the  anus,  &c. 

Cuprum  metallicum  has  been  found  most  suitable  in  cases  in 
which  entire  rigidity  of  the  body  or  convulsions  ensue  after  each 
paroxysm,  also  when  there  is  vomiting  after  the  attacks  and 
rattling  of  phlegm  on  the  chest  while  coughing. 

This  remedy  will  in  many  cases  produce  a  marked  improve- 
ment, sometimes  indeed  shortening  the  duration  of  the  disease 
very  considerably.  After  it  Veratrum  generally  acts  most 
favorably. 

Carho  vegetahilis  is  the  chief  remedy  in  spasmodic  attacks  oi 
cou^h,  occurring  twice  a  day,  especially  in  the  evening  or  fore- 
part of  the  night ;  the  cough  hollow,  with  increased  running  of 
tears,  redness  of  the  palate  and  sore  throat,  and  also  in  cough 
accompanied  by  shooting  pains  in  the. head,  chest  and  throat, 
or  with  an  eruption  on  the  head  or  body.  Tliis  is  also  one  of 
the  best  remedies  in  the  latter  stages  of  tlie  disease  after  the 
more  violent  paroxysms  are  subdued. 

Arnica  is  useful  when  there  is  considerable  hemorrhage  from 
the  nose  and  mouth,  or  the  eyes  are  injected  with  blood,  when 
blood  is  extravasated  round  the  eyes,  and  they  appear  as  u 
bruised,  and  also  when  each  paroxysm  of  coughing  is  followed 
by  crying. 

Hepar,  when  the  cough  is  diminishing,  but  is  still  dry  and 
hoarse,  or  hollow  and  ringing,  with  occasional  retching,  fol- 
lowed by  violent  fits  of  crying. 

Tartar  emetic^  taken  at  the  commencement  of  the  hooping 
cough,  will  in  some  cases  cut  short  the  disease,  or  greatly 
diminish  its  violence.  It  is  also  frequently  beneficial  in  the  more 
advanced  stages,  and  where  the  air-tubes  are  apparently  choked 
up  with  mucus.  It  may  be  administered  by  dissolving  a  grain 
of  the  third  trituration  in  a  tumbler  of  water  and  giving  a  table 
spoonful  of  the  solution  three  or  four  times  a  day. 

The  third  or  declining  stage,  requires  for  its  treatment  the  same  remediel 
as  have  already  been  recommended  in  the  first  stage  and  in  cough  orordiiiarj 
cold,  and  must  be  selected  according  to  the  indications  there  given.  Change 
of  air,  when  it  can  be  had,  is  very  useful  in  this  stage. 


152  TREATMENT   OF   DISEASES. 

Diirin?  the  treatment  of  hoopinofcong-h  the  diet  must  be  light  and  digestible, 
and  all  kinds  (tf  stinnilunts  scrupulously  avoided. 

Eiuutious  of  the  mind  should  also  as  much  as  possible  be  guarded  against, 
as  they  frroatly  adi'  to  the  violence,  and  increase  the  frequency  of  the  attacks 
of  coughing ;  this  'B  particularly  the  case  with  fits  of  anger. 

Croup. 

This  dreaded  disease  can,  in  most  cases  be  easily  cured  with  homoeopathic 
remedies,  so  that  scarcely  one-filth  as  many  cases  prove  fatal,  as  when  treated 
by  the  old  metho'l.  It  requires,  however,  great  attention  ;  parents  ought  to 
be  well  acquainted  with  the  symptoms,  as  it  is  always  a  dangerous  disease. 

Children  are  usually  troubled  with  a  slight  cough  a  few  days 
before  it  makes  its  appearance ;  the  voice  is  hoarse,  and  some- 
times the  cough  is  in  the  beginning  somewhat  hollow.  By 
selecting  one  of  the  remedies  recommended  for  "  Cough,"  the 
complaint  ma-y,  in  some  cases,  be  prevented.  When  the  cough 
is  hollow  and  wheezing,  Hepar  should  always  be  first  given. 
After  this  Samhucus,  Hyoscyamus,  and  Cina,  or  Nux  vomica^ 
Veratrum,  Chamomilla^  China,  and  Drosera. 

If  children  wake  suddenly  at  night,  and  begin  with  a  choking 
cough,  eitlier  from  want  of  breath,  or  an  accumulation  of  phlegm 
in  the  throat,  take  Tartar  emetic,  third  trituration,  put  it  in  a 
glass  of  water,  and  after  stirring  it  well,  give  a  teaspoonful  every 
ten,  twenty,  or  thirty  minutes,  according  to  the  violence  of  the 
symptoms,  until  relief  is  afforded.  This  medicine  should  always 
be  kept  on  hand,  but  preserved  with  care. 

If  this  cough  is  not  cured,  the  croup  commences.  Sometimesi 
it  appears  without  any  of  these  premonitory  symptoms.  The 
child  awakes  about  midnight  with  the  croup ;  the  cough  has  a 
shrieking,  sharp  sound,  like  the  braying  of  an  ass,  or  like  the] 
attempt  at  crowing  of  a  young  cock.  It  sounds  very  hoarse: 
somewhat  shrill  and  hissing,  or  quite  rough,  deep  and  hollow, 
like  the  hoarse  bark  of  a  dog.  The  patient  inhales  with  great 
difficulty  and  slowly,  and  emits  the  breath  in  jerks.  lie  is  much 
agitated  and  tries  to  obtain  relief  by  stretching  out  the  neck. 

At  this  stage  the  disease  is  not  so  alarming  as  it  appears,  but 
it  should  not  be  neglected.  The  best  way  to  lessen  the  agitation, 
and  make  the  symptoms  yield  more  easily,  is  to  bathe  the  arms 


k 


CHAP.  V.  AFFECTIONS   OF   THE   CHEST.  153 

as  quickly  as  possible  in  very  warm  water.  Let  both  arms  be  im- 
mersed in  water,  as  warm  as  tlie  patient  can  bear  it,  and  remain 
until  the  choking  cough  ceases.  At  tlie  same  time  give  Aconite. 
every  ten,  twenty  or  thirty  minutes,  according  to  the  urgency 
of  the  case.  The  application  to  the  throat  of  a  cold  wet  rag 
folded  three  or  four  times,  and  covered  over  with  a  double  fold 
of  flannel  or  a  long  worsted  stocking,  is  of  great  use  in  this  stage 
and  should  be  worn  the  night  through,  even  though  the  urgent 
symptoms  may  have  been  relieved  by  the  medicine  given. 

In  most  cases  this  first  attack  passes  off  soon,  but  the  child 
remains  cross,  and  retains  the  hoarseness  of  voice.  If,  during 
the  night,  Aconite  has  been  given,  give  Hepar  in  the  morning. 
Keep  the  child  warm  the  next  day,  and  on  low  diet ;  do  not 
give  the  child  any  fruit,  not  even  grapes,  as  it  frequently  causes 
a  relapse ;  flannel  may  also  be  put  round  the  neck. 

If  the  cure  of  the  disease  is  not  effected  in  this  manner,  and 
the  attack  returns  the  second  night,  the  child  complains  of  a 
burning  sensation  in  the  throat,  or  points  with  the  finger  to  the 
larynx,  which  is'very  sensitive,  particularly  when  touched,  some- 
what swelled,  and  very  hot.  The  paroxysms  become  more  vio- 
lent, as  if  the  patient  were  in  danger  of  suffocating ;  accompanied 
by  fever  and  great  thirst.  The  sufferer  falls  asleep,  but  soon 
awakes  again  with  a  worse  attack.  The  breathing,  during  sleep, 
is  oppressed  and  heaving ;  the  head  is  frequently  bent  back,  so 
that  the  throat  is  exposed  and  very  sensitive  to  the  touch.  If 
Aconite  has  not  been  given  last,  give  it  now,  alternately  witt 
Spongia,  third  trituration,  every  thirty  minutes  for  two  hours 
Bathing  the  arms  in  hot  wather  is  also  serviceable  in  tliis  stage 
A  sponge  dipped  in  hot  water  and  applied  to  the  child's  neck  as 
hot  as  it  can  be  borne  very  often  does  good  in  this  stage.  Do 
not  cover  up  the  head,  but  keep  the  feet  warm  ;  give  injections 
of  warm  water,  unless  the  child  is  very  averse  to  it. 

If  relief  follows  the  administration  of  Aconite^  and  the  parox- 
ysms become  less  frequent  and  violent,  if  the  patient  perspires, 
wait  from  two  to  six  hours,  and  then  repeat  it ;  but  if  tliere  is 
no  improvement,  or  if  the  disease  becomes  visibly  worse  not- 


1^54  TREATMENT   OF   DISEASES. 

withstanding  the  remedies  given,  and  :he  danger  increases,  give 
Spongia,  3d  trit. ;  and  if  this  does  not  soon  effect  a  change  fur 
tlie  better,  Eepar,  3d  trit.  Or  these  two  remedies  may  be  given 
alternately  until  some  improvement  takes  place  ;  but  do  not  be 
in  too  great  a  hurry.  In  all  cases,  where  there  is  no  improve- 
ment either  after  Sj^ongia,  or  Hepar,  give  Arsenucum. 

At  the  same  time  keep  the  child  as  quiet  as  possible,  and  give 
it  from  time  to  time  a  little  mucilaginous  drink,  if  fond  of  it. 

When  the  disease  advances,  the  hands  and  feet  b3Come  cold_ 
the  pulse  quite  small,  and  the  sufferer  bends  back  the  heud  as 
far  as  possible  (by  no  means  force  the  head  forward,  as  it  might 
cause  suffocation);  the  belly  expands  and  contracts  considerably 
at  every  breath,  but  not  the  chest,  at  the  same  time  a  rattling  is 
heard  when  breathing,  as  if  there  w^as  something  in  the  windpipe, 
With  the  cough  comes  retching,  and  finally  pieces  of  meml>raue 
are  sometimes  thrown  up.  The  child  is  no  longer  red  as  before, 
but  pale;  during  the  cough  it  is  of  a  bluish  color  in  the  fi,.je, 
the  eyes  start  from  the  head,  as  from  terror,  and  the  child  grasps 
convulsively  with  its  hands. 

If  the  above  mentioned  medicines,  Aconite,  Hepar,  od  trit., 
and  Spongia,  3d  trit.,  have  been  given,  and  the  disease  a'.cains 
this  point  notwithstanding,  there  is  but  little  hope  of  savin^;^.  the 
patient;  though  Lachesis  or  Phosphorus  may  be  given  or  alter- 
nated every  half-hour,  as  long  as  there  is  any  improvement; 
but  should  no  good  effect  follow,  give  Arsenicum,  then  Samhucus. 

If  these  dangerous  symptoms  should  really  appear  under 
homoeopathic  treatment,  try  the  vapor  of  sulphuret  of  potash, 
at  any  rate  it  will  do  no  harm  ;  a  warm  bath  may  be  used  with- 
out danger,  and  it  often  affords  great  relief  It  should  be  always 
borne  in  mind  that  croup  is  one  of  the  most  dangerous  diseases 
incident  to  childhood,  and  that  even  the  best  homoeopathic 
treatment  will  not  succeed  in  curing  every  case,  more  especially 
if  not  employed  at  the  very  commencement  of  the  disease. 

Any  hoarseness  that  may  remain  after  the  more  dangerous 
symptoms  of  an  attack  of  croup  have  passed,  will  be  removed 
by  Hepar,  Belladonna,    Carlo  vegetahilis   or  Arnica.     Children 


CHAP.  V.  AFFECTIONS   OF   THE   CHEST.  155 

who  are  subject  to  tliis  affection  should  be  guarded  carefully 
against  taking  cold,  and  take  occasionally  a  dose  of  Hepar  or 
Lycopodium ;  by  these  means  the  predisposition  may  be 
removed. 

Congestion  of  the  Chest. 

This  affection  occurs  more  frequently  about  tlie  age  of  puberty,  and  a  few 
years  before  and  after  that  period  than  at  any  other  time  of  life. 

The  most  promiueut  symptoms  of  congestion  of  the  chest  are  :  sensation 
of  fulness,  throbbing,  weight  or  oppression  in  the  chest;  and  palpitation  of 
the  heart  attended  with  anxiety,  short  sighing,  difficult  respiration,  &c. 

Aconite  is  serviceable  when  there  is  great  oppression,  with 
violent  heat  and  thirst,  constant  hacking  cough,  which  disturbs 
the  patient,  particularly  during  sleep,  and  apprehension  of  dan- 
ger. It  will  be  found  valuable  in  persons  of  a  full  habit,  espe- 
cially females  of  sedentary  habits,  who  suffer  from  congestion 
before  and  after  menstruation. 

Belladonna  may  be  used  if  Aconite  is  insufficient,  or  if  the 
attacks  return  frequently,  and  also  when  the  head  is  much 
affected 

Nuxvomica  when  the  affection  has  been  brought  on  by  seden- 
tary habits,  too  free  indulgence  in  the  use  of  stimulants,  such  as 
wine,  brandy,  beer,  &c.,  and  also  when  it  arises  in  consequence 
of  suppressed  piles. 

Apium  virus  for  fulness  in  the  chest,  particularly  when  lying 
down,  so  that  one  is  forced  to  sit  up,  if  the  warm  room  is 
intolerable,  sometimes  pains  about  the  heart. 

Ferrum,  Pulsatilla,  Sulphur,  and  Phosphorus,   will  also   be 

found  iiseful  in    some   cases.     Advantage   may  be    sometimes  _ 

derived  from  dry  cnpping  on  the  neck.     For  other  remedies  see 

"  Determination  of  Blood  to  the  Head." 

Persons  subject  to  this  complaint  should  avoid  violent  exercise,  such  as 

running,  dancing,  &c.,  and  stimulants  of  all  kinds,  as  alcoholic,  vinous  and 

fermented  beverages  and  coffee  :  they  should   use  moderate  exercise  in  the 

■  open  air,  drink  freely  of  cold  water,  bathe  the  chest  and  anns  daily  in  cold 

water,  and  not  sleep  too  long  in  the  morning. 


156  TREATMENT  OF  DISEASES. 


Hemorrhage  from  the  Lungs.    Spitting  of  Blood. 

When,  on  coughing,  a  little  blood  is  expectorated,  the  danger,  in  most 
cases,  is  not  as  imminent  as  many  imagine.  The  blood  frequently  proceeds  from 
the  nose,  from  hollow  teeth,  or  only  from  the  throat.  When  it  is  really  from 
the  chest,  it  is  almost  at  all  times  accompanied  by  a  sensation  as  if  coming 
from  a  considerable  depth ;  it  is  warm,  generally  tastes  sweet,  the  taste  of  it 
precedes  the  rising  of  the  blood,  or  there  is  at  the  same  time  a  painful  and 
burning  sensation  in  the  chest. 

Under  these  circumstances  avoid  everything  which  might  fatigue  the  lungs, 
such  as  long  and  loud  speaking,  crying,  singing,  blowing  the  horn  or  the 
trumpet,  all  violent  exercise  of  the  arms,  or  cjuick  running,  ascending,  par- 
ticularly going  up  stairs.  Sometimes  this  disease  is  produced  by  inhaling  the 
dust  or  exhalations  proceeding  from  such  substances  as  lime,  gypsum  or 
plaster  of  Paris,  metal  filings,  tobacco,  or  sulphuric  acid. 

When  the  discharge  of  blood  is  but  trifling,  and  is  accompanied  with  a  good 
deal  of  cough,  a  remedy  may  frequently  be  found  among  those  recommended 
for  "  Cough,"  especially  such  among  them  as  Belladonna,  Merairius,  Carbo 
vec/eiabilis,  Pulsatilla,  Bryonia,  China,  Arnica,  Dulcamara,  Staphisagria, 
Silicea,  and  Lachesis. 

But  when  the  complaint  has  already  existed  for  some  time,  and  the  blood  is 
discharged  in  considerable  quantities,  or  when  it  commences  with  a  violent 
hemorrhage,  there  is  danger,  but  not  to  such  a  degree  as  to  be  excessively 
alarming.  Fear  only  makes  the  matter  worse.  It  is  seldom  as  bad  as  it 
appears.  The  life  of  the  patient  is  not  in  imminent  danger  unless  there  have 
been  several  previous  attacks,  or  the  patient  has  sufi'ered  long  from  other 
diseases;  the  blood  is  sometimes  discharged  in  large  quantities,  and  is  of  a 
blackish  color.  In  other  cases  it  soon  ceases  of  its  own  accord.  The  most 
important  object  is  the  cure  of  the  complaint  after  hemorrhage  has  ceased, 
for  that  is  the  most  critical  period,  either  from  a  return  of  the  hemorrhage, 
or  from  the  establishment  of  an  incurable  disease  upon  the  lungs. 

On  no  account  allow  a  vein  to  be  opened  during  or  after  hemorrhage  from 
the  lungs  ;  this  remedy  is  worse  than  the  disease,  for  it  invariably  aggra- 
vates it. 

Persons  who  have  had  several  attacks  of  hemorrhage,  and  have  each  time 
been  treated  by  blood-letting,  are  really  in  a  dangerous  state,  for  the  bleeding 
aggravates  the  principal  cause  of  the  disease,  and  the  constitution  suffers  so 
much  in  consequence  that  other  remedies  do  not  easily  act.  Under  such  cir- 
cumstances it  is  best  to  submit  to  a  regular  course  of  treatment  by  a  homoeo- 
pathic practitioner,  while  there  is  yet  some  prospect  of  obtaining  relief. 

Blood-letting  for  hemorrhage  of  the  lungs  is  most  injurious  in  the  case  of 
individuals  who  have  previously  suffered  from  piles — and  where  the  blood  only 
takes  another  direction — or  of  women,  who,  instead  of  having  their  monthly 
changes,  have  spitting  of  blood.  In  these  cases  there  is  no  danger  whatever 
from  the  hemorrhage,  for  it  will  cease  of  its  own  accord,  and  all  the  bad  cou- 
eequences  may  be  prevented  by  medicine. 

After  a  heavy  fall,  blow  or  thrust  on  the  chest,  it  is  also  injurious  to  bleed  ; 
vn  most  cases  it  does  more  harm  than  the  actual  injury,  and  is  nothing  but  an 
old  custom,  which  medical  men  follow  when  they  do  not  know  what  other 
means  to  resort  to.  In  such  cases  give  Arnica,  and  keep  the  patient  on  a  low- 
diet  ;  if,  after  some  days,  pains  in  the  chest  and  fever  make  their  appearance, 
give  Aconite,  and  if  after  this  it  gets  worse  again,  repeat  the  Arnica,  alter- 
nating with  these  two  remedies. 


CHAP.  y.  AFFECTIONS   OF   THE    CHEST.  157 

You  may  also  tie  a  handkerchief  around  the  upper  purt  of  one  arm,  aa 
tightly  as  the  patient  can  bear  it,  and  another  around  the  upper  p:irt  of  the 
correspondin<?  thigh,  and  if  this  does  not  arrest  it,  on  the  other  arm  and  thigh 
in  ihe  same  way. 

When  the  hemorrhage  has  ceased  entirely,  loosen  the  bandages  gradually. 
While  the  bleeding  continues,  and  also  for  a  considerable  time  after  it  has 
ceased,  the  patient  should  remain  perfectly  quiet  in  a  half  sitting,  half  lying 
position,  with  plenty  of  pUlows  under  the  head  and  chest.  'I'he  room  should 
be  kept  cool  and  well  aired  and  no  warm  drinks  or  stimulants  of  any  kind 
allowed  for  eight  or  ten  days.  The  food  should  be  light  and  digestible,  and 
the  drinks  principally  mucilaginous. 

All  kinds  of  mental  excitement,  and  particularly  vexation  and  anger,  shou>d 
be  carefully  avoided.  Advantage  will  also  be  derived  from  sleeping  awhile 
during  the  day,  especially  before  meals. 

If  the  bandages  do  not  speedily  check  the  hemorrhage,  dry  cups  may  be 
applied  to  the  abdomen  and  under  the  ribs,  also  on  the  pit  of  the  stomach. 
As  a  substitute  for  regular  cupping  glasses,  dip  a  piece  of  paper,  cotton,  or 
other  light  substance,  in  strong  brandy  or  alcohol,  ignite  it,  throw  it  into  a 
tumbler,  turn  the  glass  so  that  the  paper  shall  fall  out,  and  apply  the  tumbler 
as  quickly  as  possible  to  the  bare  skin.  The  closer  the  glasses  adhere  the 
better  ;  if  you  do  not  succeed  at  the  first  trial,  repeat  the  experiment. 

Cloths  dipped  in  cold  water,  and  applied  to  the  lower  part  of  the  abdomen, 
will  also  be  beneficial.  No  other  cold  application  should  be  made,  and  no 
cold  water  drunk,  especially  if  it  aggravates  the  cough 

A  little  fine  dry  table  salt  is  sometimes  administered  ;  this  may  do  good, 
but  if  it  aggravates  the  cough  it  should  be  disponed  with. 

When  the  cough  continues,  and  brings  on  fresh  attacks  of  bleeding,  give 
the  white  of  an  egg,  mixed  with  sugar,  a  teaspoonful  at  a  time;  or  put  a  drop 
of  sulphuric  acid  in  a  tumbler  of  water,  and  use  it  as  a  gargle,  or  take  a  tea- 
spoonful  every  five  or  ten  minutes. 

In  selecting  a  medicine,  we  should  endeavor  to  choose  one  which  will  not 
only  accelerate  the  cure,  but,  as  much  as  possible,  prevent  a  relapse. 

When  there  appears  to  be  great  danger,  select  either 
Aconite,  Ipecacuanha,  Arnica,  China  or  Opium. 

Aconite  will  have  the  preference  when  the  slightest  attempt  at 
clearing  the  throat  brings  up  blood,  when  the  patient  previously 
to  the  bleeding  feels  a  sensation  of  ebullition  of  blood  in  tlie 
chest;  the  latter  seems  full,  with  a  burning  sensation,  palpita- 
tion of  the  heart,  agitation,  uneasiness;  is  worse  when  lying 
down,  with  an  anxious,  pale  countenance,  and  when  the  blood 
comes  by  gushes,  and  much  at  a  time. 

Ipecacuanha  may  follow  the  Aconite,  if  the  latter  nas  checked 
the  hemorrhage,  but  there  is  remaining  a  constant  taste  of  blood, 
with  a  short  cough,  discharge  of  phlegm,  mixed  with  blood, 
nausea  and  weakness. 

Arsenicum  should  be  given  if  the  Aconite  is  insufficient  and 

15 


158  TREATMENT   OF   DISEASES. 

the  palpitation  of  the  heart  and  agitation  increase,  and  prevent 
the  patient  from  sleeping,  or  disturb  him  when  asleep,  drive  him 
out  of  bed,  and  are  accompanied  with  a  dry,  burning  heat.  If 
it  returns  again,  give  Ipecacuanha,  N%ix  vomica^  Sulphur,  or 
Arnica.  And  if,  after  these  remedies,  it  still  grows  worse, 
repeat  the  Arsenicum.  By  these  means  the  recurrence  of  the 
complaint  may  sometimes  be  prevented  and  the  disease  entirely 
cured. 

Cliina  when  the  cough  which  had  been  very  dry,  rough  and 
painful,  with  a  taste  of  blood,  becomes  violent  and  is  accom- 
panied by  constant  raising  of  blood ;  when  the  patient  feels 
chilly,  with  occasional  flushes  of  heat,  is  very  weak,  wants  to 
lie  down  constantly,  perspires  occasionally,  but  not  long  at  a 
time,  trembles,  has  dimness  of  sight,  or  confusion  in  the  head, 
or  when  he  has  lost  so  much  blood  as  to  become  quite  faint,  or 
pale  and  cold,  with  twitches  in  the  hands  and  face.  After 
giving  the  medicine,  wait  the  result,  although  it  should  at  first 
grow  a  little  worse.  Ferrum,  Arnica  and  Arsenicum  will  some- 
times be  indicated  after  China. 

Ferrum  in  slender  persons  of  sallow  complexion  who  do  not 
sleep  well  at  night ;  if  the  blood  is  broi;ght  up  by  a  slight 
hawking,  not  in  very  great  quantities,  is  quite  pure  and 
bright  red,  if  there  is  pain  between  the  shoulders,  asthma,  par 
ticularly  during  the  night,  the  patient  cannot  sit,  feels  better 
when  walking  slowly  about  and  yet  must  frequently  lie  down; 
is  very  weak,  particularly  after  speaking,  and  cough  is  pro- 
duced by  any  considerable  exertion. 

Arnica  when  the  blood  is  clotted,  black  and  raised  easily; 
accompanied  by  asthma,  shooting  pains  and  burning  contrac- 
tion in  the  chest,  palpitation  of  the  heart,  great  heat  over  the 
body,  with  weakness,  almost  to  faintness,  and  also  when  the 
blood  is  raised  with  slight  cough,  is  bright  red,  frothy,  mixed 
with  small  clots  and  mucus,  sometimes  accompanied  by  tickling 
under  the  breast-bone,  coughing  produces  shooting  pains  in  the 
head,  and  all  the  ribs  feel  as  if  bruised. 

Pulsatilla  if  the  complaint  has  already  continued  for  some 


CHAP.  V.  AFFECTIONS   OF   THE   CHEST.  159 

time;  if  the  blood  is  black,  clotted;  if  the  patient  becomes 
very  nervous  during  the  night,  feels  cold,  com[daiiis  of  weak- 
ness and  pains  in  the  hnver  part  of  the  breast,  with  a  qualmish 
sensation  in  the  stomach,  is  reserved,  inclined  to  weep,  and 
indisposed  to  exert  himself.  After  Pulsatilla,  Secale  may  be 
beneMcial. 

Rhus  in  cases  similar  to  the  last,  but  when  the  blood  is  of  a 
brighter  red,  or  the  mind  perturbed,  uneasy,  the  symptoms 
aggravated  by  the  slightest  vexation,  or  when  there  is  much 
tickling  in  the  chest. 

Nux  vomica  if  the  disease  has  been  occasioned  by  spirituous 
liquors,  or  the  suppression  of  piles ;  especially  in  passionate 
persons,  and  is  accompanied  by  tickling  in  the  chest,  and  cough 
which  affects  the  head;  and  is  worse  in  the  morning. 

If  the  hemorrhage  arises  from  suppressed  menstruation, 
Ptdsatilla  or  Bryonia^  sometimes  Cocculus  or  Veratrum. 

Ojnum,  when  the  discharge  is  very  thick  and  frothy,  mixed 
with  phlegm,  particularly  in  persons  addicted  to  drinking,  or 
when  the  cough  is  worse  after  swallowing,  accompanied  by 
difficulty  of  breathing,  asthma,  and  anxiety,  with  a  burning 
sensation  in  the  region  of  the  heart,  trembling  of  the  arms, 
sometimes  weakness  of  voice,  drowsiness  and  sudden  startino-. 
coldness,  particularly  of  the  extremities,  or  heat,  especially  of 
the  breast  and  abdomen,  without  perspiration. 

Tf  after  Opium  there  appears  perspiration  on  the  chest,  with 
or  without  restlessness,  give  Mercurins. 

Hyoscyamus  when  the  hemorrhage  is  accompanied  with  dry 
cough,  particidarly  in  the  night,  which  compels  the  patient  to 
get  out  of  bed  ;  wlien  he  starts  in  his  sleep,  &c. ;  also  in  persons 
accustomed  to  ardent  spirits;  it  will  follow  Opium  and  Nvx 
yo7W2ca  advantageously  when  they  prove  insufficient;  and  mav 
be  followed  by  Arsenicum. 

Belladonna  when  there  is  a  tickling  in  the  throat,  which 
excites  coughing  and  aggravates  the  hemorrhage,  with  a  sensa- 
tion as  if  there  was  too  much  blood  in  the  chest,  and  shooting 
pains,  worse  when  in  motion. 


IQQ  TREATMENT   OF   DISEASES. 

Dulcamara  for  the  same  symptoms  as  Belladonna;  if  they 
arc  worse  when  the  patient  is  at  rest,  and  when  the  blood  is  of 
a  bright  red  color ;  the  attack  brought  on  by  a  cold ;  or  when 
the  patient  has  already  suffered  from  a  loose  cough  for  a  con- 
siderable time. 

Carlo  vegetaUlis  when  there  is  a  burning  sensation  on  the 
chest,  even  after  the  hemorrhage  has  ceased,  particularly  with 
persons  who  cannot  bear  the  changes  of  the  weather,  or  who 
have  taken  a  great  deal  of  calomel. 

For  the  weakness  which  follows  bleeding  at  the  lungs,  do  not 
give  too  much  medicine,  good  diet  is  of  more  consequence ;  let 
the  patient  eat  often,  but  not  much  at  a  time;  but  little  meat* 
plentv  of  milk,  and  occasionally  eggs ;  flour  prepared  in  different 
ways,  and  let  him  take  exercise  in  fine  weather.  If  he  remains 
weak  notwithstanding,  and  over-sensitive,  give  China,  some- 
times alternately  with  Ferrum  ;  if  he  is  weak,  but  at  the  same 
time  too  lively,  Coffea;  and  if  cross  and  fretful,  Jgnaiia ;  very 
much  depressed,  Phosphoric  acid. 

Chronic  Inflammation  of  the  Larynx. 

This  disease  is  often  so  insidious  in  the  commencement,  and  so  slow  in  its 
progress,  that  sometimes  serious  mischief  may  be  done  before  any  alarm  is 
felt  by  the  patient  and  he  applies  for  medical  advice.  The  following  are  its 
principal  symptoms;  pain  in  the  larynx,  extending  entirely  over  it,  or  con- 
fined to  a  small  space,  a  tii-kling  sensation  excites  coughing.  The  pain  is 
increased  by  coughing,  speaking,  and  swallowing,  by  breathing  cold  air  or 
pressure  on  the  larynx.  The  voice  is  changed,  hoarse,  at  times  almost  lost ; 
coughing  often  hoarse  and  croupy.  In  the  beginning  the  cough  is  dry,  Ixit 
subsequently  with  expectoration  of  mucus  mixed  with  pus  and  blood. 

When  the  disease  has  continued  for  a  considerable  time,  there  is  ulceration 
of  the  cartilages  composing  the  larynx;  and  sometimes  it  ends  in  hectic  fever 
and  consumption. 

It  is  this  form  of  disease  that  is  also  known  under  the  name  of  "  Clergy- 
men's sore  throat." 

It  has  the  same  causes  as  other  affectious  of  the  larynx  and  chest,  viz, : 
exposure  to  sudden  changes  of  temperature,  inhalation  of  irritating  substances, 
or  foreign  bodies  into  the  larynx,  &c.  The  habitual  abuses  of  murcury  and 
spirituous  liquors  are  exciting  causes.  Prolonged  action  of  the  voice  is  also 
alleged  as  a  cause,  hence  its  frequency  among  singers,  lawyers,  preachers, 
actors,  &c. 

Cansiiaim,  C'alcarea,  Carbovegeiabilis,Hepar,Lac/te.<!{s, Phosphorus,  Sulphur, 
Arsenicum,  M''rrin-ius  and  Si.oui/ia  may  be  given. 
•     Aconite,  Ph'sp'onix,  ][,'i„ir  iuid  L'ldiesis,  most  in  the  acute  forms.     For 
their  proper  selection,  con.-^uit  •'  Hoarseness"  and  "  Cough." 


CHAP.  V.  AFFECTIONS  OF  THE   CHEST.  161 


Broncliitis,  including  Catarrh  on  the  Breast  of 
Children. 

This  disease  consists  of  an  inflammation  of  the  mucous  membrane  of  the 
bronchia,  and  is  acute  or  chronic.  The  former  is  of  frequent  occurrence,  alone 
or  with  measles,  scarlatina,  small-pox,  hooping  cough,  &c. 

'J'he  most  prominent  symptoms  are  :  Chilliness,  succeeded  by  fever;  hoarse- 
ness ;  difficult  respiration  ;  severe,  frequent,  and  distressing  cough,  at  first 
dry  or  with  scanty  expectoration  of  frothy  or  viscid  muscus,  later  copious  and 
streaked  with  blood  ;  constriction  at  the  chest  with  oppression  ;  weakness,  f(;ul 
tongue,  and  loss  of  appetite  ;  rapid  pulse,  increased  difficulty  of  respiration; 
paleness  of  the  lips,  anxious  countenance,  wheezing ;  ou  applying  the  ear  to 
the  chest,  a  louder  sound  than  the  natural  respiration,  either  rattling,  whistling, 
or  droning,  or  harsh  and  broken,  according  to  the  advance  of  the  disease. 

Symptoms  of  improvement  are,  a  greater  freedom  of  breathing,  remission 
of  the  fever  ;  altered  expectoration,  which  becomes  thicker,  whiter,  and  dimin- 
ished in  quantity.  It  is  unfavorable  when  the  difficult  breathing  and  debility 
increase  ;  the  face  becomes  livid,  the  body  covered  with  a  cold  clammy  sweat ; 
the  mucus  accumulates  rapidly  in  the  bronchial  tubes,  and  the  cough,  which 
has  become  feeble  through  the  exhausted  and  sinking  energies  of  the  patient, 
is  insufficient  for  its  ejection  ;  symptoms  of  the  mind  appear,  and  the  patient 
is  carried  off. 

In  many,  and  the  most  dangerous  cases  of  acute  bronchitis,  although  a 
degree  of  oppression  of  the  chest  be  present,  no  particular  pain,  heat  of  skin, 
nor  fever  may  exist ;  this  is  the  most  insidious  form  of  the  disease,  in  which 
it  is  but  too  frequently  neglected  until  beyond  the  power  of  the  physician's 
art;  this  occurs  most  frequently  in  children  who  may  apparently  be  only 
troubled  with  a  sUght  tcheezing,  of  which  scarcely  any  notice  is  taken,  and  no 
medical  aid  is  called  in,  until  suddenly  suffocation  threatens,  or  some  organic 
lesion  is  produced,  so  that  an  affection  which  probably  might  have  been  easily 
subdued  at  the  onset,  is  now  beyond  control. 

The  frequency  of  the  disease  in  infancy  and  early  life  deserves  a  particular 
notice.  It  is  generally  known  by  the  name  oi  aifarrh  on  the  breasf ;  it  com- 
mences as  in  adults,  wi'th  the  symptoms  of  a  common  catarrh  ;  the  breathing 
becomes  quick  and  oppressed,  and  from  the  incressed  action  of  the  diaphragm 
the  abdomen  becomes  prominent;  both  the  shoulders  and  the  nostrils  are  in 
continual  motion,  but  the  wheezing  is  often  more  marked  than  the  difficulty 
of  respiration,  and  on  applying  the  ear  to  the  chest,  a  mucus  rattle  is  heard 
over  almost  every  part ;  expectoration  sometimes  temporarily  relieves,  and 
occasionally  the  mucus  is  expelled  from  the  air-passages  by  vomiting;  the 
countenance  is  pale  and  anxious,  and  somewhat  livid  :  — these  symptoms  are 
interrupted  and  relieved  by  occasional  remissions,  iduring  which  the  child 
generally  appears  drowsy;  but  they  return  with  additional  severity,  and,  if 
not  checked,  death  may  take  place  from  suffocation.  Coughing  sometimes 
produces  considerable  pain,  and  the  child  for  that  reason  frj>quently  endeavors 
to  suppress  it.  There  is  no  appetite,  much  thirst,  although  when  the  disease 
has  advanced,  it  is  found  difficult  to  take  a  long  draught,  from  its  impeding 
respiration;  this  is  very  observable  with  children  at  the  breast,  who,  after 
eagerly  seizing  the  nipple,  will  bite  it  and  discontinue  sucking,  cry,  and  throw 
back  the  head,  and  after  vomiting  up  the  phlegm,  continue  for  some  time  in 
that  position. 

m  15^ 


162  TREATMENT    OF   DISEASES. 

In  some  cases,  from  the  character  of  the  voice  and  cough,  bronchitis  baa 
been  mistaken  for  croup. 

The  aggravation  of  suffering  at  night  is  a  very  remarkable  symptom  of  this 
complaint. 

The  causes  are  the  same  as  those  of  common  catarrh. 


i 


In  all  the  lighter  cases  Aconite  or  Pulsatilla,  in  more  severe 
cases  Tartar  emetic,  are  generally  sufficient  to  prevent  its  getting 
worse. 

Aconite  as  long  as  the  skin  is  hot,  dry;  pulse  hard,  frequent 
hoarseness  with  a  rough  voice ;  a  short,  dry  and  frequent  cough 
as  if  excited  by  a  tickling  in  the  throat  or  chest,  difficult  an 
quick  breathing;  anxiety,  restlessness,  tossing  about,  and  more' 
or  less  thirst, 

Pulsatilla  is  better  first  or  after  Aconite,  if  there  is  less  heat, 
more  coldness  of  the  hands  and  feet,  but  more  heat  on  the  chest, 
less  or  no  thirst ;  less  anxiety,  no  agonizing,  tossing  about ;  inter- 
rupted sleep,  the  cough  shaking,  rattling ;  breathing  short,  quick, 
sometimes  difficult,  a  moderate  hoarseness  when  crying  or  speak- 
ing ;  if  they  commenced  to  be  sick  in  the  evening  or  get  worse 
at  night,  if  they  want  to  be  taken  out  of  bed,  like  to  be  moved 
about  but  slowly,  some  like  to  be  touched  or  taken  up  with 
great  care.  If  they  bring  up  phlegm  it  is  thick,  yellowish,  some- 
times with  a  little  blood.  If  a  similar  phlegm  is  discharged 
from  the  nose,  give  no  other  medicine  to  the  child,  Pulsatilla  is 
sufficient. 

Tartar  emetic  in  all  cases,  when  the  rattling  of  phlegm  in  the 
chest  is  remarkable  from  the  first,  when  they  are  inclined  to 
slumber  much,  often  with  the  eyes  half  open  ;  when  they  cry 
from  being  touched,  but  insist  on  being  taken  up  and  constantly 
carried  about.  If  they  are  afraid  of  drinking,  as  mentioned 
before,  and  lose  their  breath  when  doing  so,  Tartar  emetic  is 
preferable  to  other  remedies.  Do  not  give  it  too  often,  never 
repeat  it  as  long  as  there  is  any  improvement. 

In  some  cases  other  remedies  are  required,  viz. :  Spongia  after 
Aconite,  when  there  still  remains  hollow,  dry  cough,  day  and 
night,  but  worse  in  the  evening;  or  cough  with  scanty,  viscid, 
ropy  expectoration ;  heat  in  the  chest,  burning,  tickling  in  the 


g 


CHAP.  V.  AFFECTION'S   OF   THE   CHEST.  163 

throat,  quick,  anxious,  laborious  respiration;  hoarseness,  &;c. 
Hepar  sometimes  after  Spoyigia  when  the  skin  is  hot  and  dry, 
and  the  efforts  to  expectorate  ineffectual. 

Belladonna  when  there  is  severe  headache  aggravated  by 
coughing,  oppression  of  the  chest,  and  constriction  as  if  bound, 
with  rattling  on  the  chest;  short,  anxious,  and  rapid  respiration; 
dry,  fatiguing  cough,  worse  at  night,  great  thirst;  soreness  of 
the  throat.    (See  Soke  Throat.) 

I>[ux  vomica.  Difficult  breathing  with  excessive  tightness  of  the 
chesty  particularly  at  night ;  hoarseness ;  dry  cough,  worse 
towards  morning,  attended  with  a  sensation  as  from  a  blow  or 
bruise  under  the  short  ribs ;  cough  with  difficult  and  scanty 
expectoration  of  viscid  mucus ;  dryness  of  the  mouth  and  lips, 
thirst,  and  constipation,  peevishness. 

Laehesis.  Oppression  at  the  chest,  with  short  and  hurried  res- 
piration, anxiety,  and  dejection;  dry,  fatiguing  cough,  some- 
times followed  by  the  expectoration  of  a  little  tenacious  or  frothy 
mucus,  after  much  effort,  occasionally  streaked  with  blood ; 
hoarseness,  worse  when  awaking. 

Bryonia.  Difficult  and  anxious  respiration,  with  constant 
inclination  to  make  a  deep  inspiration ;  hoarseness;  headache; 
cough  dry,  attended  with  a  sensation  of  burning,  or  cough  with 
expectoration  of  viscid  mucus  ;  in  some  instances  tinged  with 
blood  ;  dryness  of  the  mouth  and  lips,  excessive  thirst ;  shootings 
in  the  chest  prevent  breathing. 

Phosjjhorus.  If  the  respiration  continues  oppressed,  with  great 
anxiety,  and  heat  in  the  chest,  or  a  feeling  of  heaviness  of  a 
part  or  of  the  whole  of  one  lung ;  dry  cough,  excited  by  a  tickling 
in  the  throat  or  chest,  aggravated  by  talking  or  laughing:  See 
"Inflammation  of  the  Lungs." 

Mercurius  is  occasionallly  useful  when  the  symptoms  are 
accompanied  by  excessive  perspiration ;  when  the  cough  is 
fatiguing,  worse  in  the  evening  and  at  night,  and  excited  by  a 
tickling  irritation,  or  sensation  of  dryness  in  the  chest,  with  quick, 
short,  oppressed  breathing,  and  louder  rcsj^iration  than  ordi- 
nary; stitches  through  the  right  side  of  the  chest;  or  if  the 


164  TREATMENT   OF   DISEASES. 

patient  had  before  a  cold  in  the  head,  with  watery,  acrid  dis- 
charo-e ;  swelling  of  the  nose.  Dulcamara  after  Mercunxis,  when 
there  are  night  sweats  of  an  offensive  smell. 

Chamomilla  in  cases  of  children,  when  after  Aconite,  a  slight 
degree  of  whistling  still  remains  ;  or  dry  cough,  worse  at  night, 
even  during  sleep. 

Ipecacuanha^  if  there  is  mucus  rattling  in  the  chest,  and  when 
on  coughing  they  are  almost  suffocated  by  the  excessive  secre- 
tion of  mucus,  and  become  livid  in  the  face;  shortness  of  breath, 
and  perspiration  on  the  forehead  after  each  fit  of  coughing. 

Arsenicum  when  the  pulse  becomes  very  quick,  feeble,  and 
intermitting,  and  the  patient  is  reduced  to  a  state  of  extreme 
debility. 

Sulphur  when  the  expectoration  has  increased  in  quantity  and 
become  whitish  and  less  viscid ;  it  may  prevent  a  more  chronio 
form. 

What  is  to  be  done  for  Chronic  Bronchitis  will  be  found  under 
the  head  of  "  Cough." 

Palpitation  of  the  Heart. 

The  causes  of  this  complaint  will  frequently  indicate  the  remedies  ;  it  is 
generally  produced  by  violent  emotions  of  the  mind,  or  by  the  use  of  ardent 
spirits.  Drinking  cold  water,  particularly  before  going  to  bed,  and  eating  but 
little  in  the  evening  is  the  best  remedy  for  young  people.  Persons  who  are 
troubled  with  this  complaint  usually  sleep  better  on  the  right  side  than  on 
the  left,  and  prefer  to  have  the  head  rather  high  ;  they  must  drink  neither 
coffee,  tea,  nor  chocolate. 

If  it  is  caused  by  vexation,  give  Chamomilla  ;  by  fear,  Vera 
trum;  by  joy,  Coffea ;  by  sudden  fright,  Opium  or  Coffea;  by 
great  agitation  and  anxiety,  either  Opium  or  the  smell  of  a  bit- 
ter almond  crushed,  will  be  found  to  be  beneficial. 

A  sudden  attack  of  palpitation,  with  colduess  of  the  surface 
and  pale  face,  may  be  relieved  by  spirits  of  camphor,  a  drop  on 
sugar  every  five  minutes. 

With  pregnant  females,  when  connected  with  weakness  of  the 
nervous  system,  when  it  returns  frequently,  give,  from  time  to 
time,  a  very  little  old  wine.  During  the  attack  it  is  sometimes 
better  to  give  a  spoonful  of  hot  water,  particularly  when  the  skin 


CHAP.  V.  AFFECTIONS   OF  THE   CHEST.  165 

is  very  dry.  Females  of  a  pale  complexion  may  experience 
some  benefit  from  smelling  vinegar. 

For  plethoric  persons,  Aconite  ;  nfter  this,  Nux  vomica  or  Bel- 
ladonna. With  persons  of  weak  nerves,  Ignatia ;  and  when 
worse  on  lying  on  one  side,  Pulsatilla. 

Spigelia  is  a  principal  remedy  for  such  who  have  the  palpita- 
tion often,  especially  if  their  breath  is  offensive. 

Nux  moschata  for  palpitation  with  fainting,  and  afterwards 
sleep,  particularly  if  preceded  by  exertion;  or  for  persons  who 
are  inclined  to  fainting,  or  have,  in  general,  the  symptoms  of 
Nux  moschata,  as  stated  under  "  Cough,"  "  Headache,"  &c. 

China  is  most  suitable  for  persons  who  have  been  much 
weakened  by  the  loss  of  fluids. 

Staphisagria,  in  palpitation  occurring  in  persons  weakened  by 
tedious  and  exhausting  diseases. 

Belladonna^  wlien  the  palpitation  of  the  heart  produces  a 
tingling  sensation  in  the  head,  when  the  chest  feels  full,  or  when 
there  is  an  uneasy  and  throbbing  sensation  in  it,  particularly  in 
females,  after  confiuement,  or  when  the  milk  fails,  or  after  wean- 
ing.    In  the  latter  case,  give  China  some  time  after. 

Glonoine,  for  palpitation  after  sudden  over-heating,  from  vio- 
lent mental  emotions,  after  many  rapid  changes  of  different 
influences;  either  with  heat  of  the  face, full  pulse,  beating  up  to 
the  head,  or  with  the  face  pale,  very  slow  or  scarcely  perceptible 
pulse ;  heat  about  the  heart,  and  pains  up  to  the  back. 

Sulphur,  for  the  same  symptoms  as  the  latter,  when  that  proves 
insufficient;  especially  if  the  palpitation  is  consequent  upon  the 
suppression  of  an  eruption,  or  the  healing  of  an  old  ulcer.  Also, 
when  going  up  stairs  or  ascending  a  hill  has  occasioned  palpita- 
tion for  a  considerable  length  of  time. 

Arsenicum  may  be  given  after  Stdphur,  when  the  latter  does 
not  suffice,  particularly  when  caused  by  suppressed  eruptions  or 
ulcers.  It  is  alsc  serviceable  when  the  palpitation  comes  on 
during  the  night,  with  great  agitation,  is  very- violent,  with  burn- 
ing heat  in  the  chest;  with  difficulty  of  breathing,  and  is  worse 
when  lying  down,  better  when  in  motion. 


166  TREATMENT  OF   DISEASES. 

Veraimm  is  suitable  in  cases  similar  to  the  latter,  whea 
accompanied  by  difficulty  of  breathing  and  agitation  ;  particu- 
larly if  better  on  lying  down,  and  worse  when  rising  or  in 
motion. 

For  chronic  palpitation  of  the  heart,  when  the  remedies  prescribed  give 
only  temporary  relief,  apply  to  a  homceopathic  practitioner,  and  submit 
patiently  to  medical  treatment  even  thoiif^h  no  decisive  advantage  be  imme- 
diately perceived,  otherwise  an  incurable  disease  of  the  heart  may  be  the 
result. 

Asthma. 

The  paroxysms  of  asthma  come  on  at  times  instantaneously,  without  giving 
the  patient  any  v/arning,  at  others  there  is  a  sense  of  fulness  or  oppression  at 
the  pit  of  the  stomach — probably  from  wind — with  a  feeling  of  irritation  in  the 
air-passage.  The  paro.xysms  themselves  rarely  occur  during  the  day  ;  they 
usually  commence  at  night,  and  between  the  hours  of  ten  and  two.  If  the 
patient  is  lying  down,  he  immediately  J'ises  and  remains  sitting  up,  experiencing 
a  constriction  over  the  whole  chest ;  Uie  arms  are  thrown  back  to  facilitate 
inspiration  ;  the  shoulders  raised  and  the  head  straitened  ;  the  patient  lays  hold 
of  any  object  that  may  afford  him  support;  the  inspirations  quick,  and  after 
each  expiration  a  distinct  pause  before  inspiring  again,  as  though  the  patient 
had  to  make  an  effort  of  the  will  before  breathing  again  ;  the  patient  requests 
the  windows  or  doors  to  be  thrown  open,  that  more  air  may  be  admitted.  The 
face  is  pale,  sometimes  livid ;  the  eyes  anxious  and  projecting ;  a  small  fre- 
quent and  dry  cough,  and  the  body  covered  with  a  profuse,  cold  perspiration, 
frequently  a  disordered  stomach  and  vomiting. 

An  attack  of  asthma  of  the  nervous  or  spasmodic  kind  usually  lasts  about 
three  or  four  hours ;  after  which  the  symptoms  gradually  abate,  the  cough 
becomes  more  free,  and  the  expectoration  more  copious,  the  matters  expec- 
torated colorless,  transparent  and  viscid,  with  a  salt  or  sweetish  taste  ;  the 
countenance  resumes  its  natural  expression  gradually,  and  the  patient  falls 
asleep.  On  awaking  he  may  find  himself  entirely  restored,  but  there  is 
generally  some  difficulty  of  breathing,  with  pains  about  the  stomach — which 
may  continue  through  the  following  day  and  be  succeeded  by  another  paroxysm 
the  next  night.  Asthma  from  a  cold  commences  gradually,  the  expectora- 
tion begins  early  and  is  at  first  viscid  and  scanty,  afterwards  copious,  and 
giving  great  relief  to  the  patient. 

The  fiiiises-  are  various,  atmospheric  changes,  odors  of  different  kinds — . 
agreeable  and  disagreeable — smoke  ;  du.st ;  gases  ;  metallic  and  other  particles 
floating  in  the  air;  chamomile  tea;  ipecacuanha;  vapor  of  sulphur,  &c.  Also 
irregularities  of  diet,  especially  taking  food  in  too  great  a  quantity,  or  of  im- 
proper quality  ;  abuse  of  alcoholic  li(juors  ;  the  suppression  of  any  accustomed 
discharge  ;  over-exertion  and  mental  emotions.  Asthma  is  more  frequeut 
in  advanced  than  in  early  life. 

In  sudden  attacks  of  asthma  relief  maybe  obtained  by  immersing  the  hands 
in  warm  water,  or  by  the  application  of  dry  cups  to  the  abdomen,  in  the 
manner  recommended  under  'Hemorrhage  from  the  Lungs."  Bandaging  the 
arms  above  the  elbow  is  often  beneficial,  the  left  arm  first  and  afterward,  if 
necessary,  the  right,  and  the  lower  limbs. 


CHAP.  V.  AFFECTIONS   OF  THE    CHEST.  167 

When  the  attacks  originate  from  the  use  of  chamomile  tea  or  ipecaciranha, 
&c.,  smell  camphor,  or  take  a  little  coffee  without  milk.  If  caused  by  inhaling 
the  vapor  of  sulphur,  PtilsaUlla  is  best. 

If  the  chest  feels  as  if  laced  together  ;  with  anguish  and  if  the  constriction 
alternates  with  headache,  give  Glonoino. 

For  attacks  which  come  on  immediately  after  meals,  or  after  a  nap,  when 
the  patient  cannot  breathe,  draws  and  stretches  the  neck  as  if  suffocating, 
the  throat  feeling  dry  and  too  narrow,  without  much  agitation  :  chewing  a 
little  ginger  mixed  with  sugar,  may  be  beneficial. 

Weak  anise-seed  tea,  at  easpoonful  taken  at  a  time,  especially  in  the  even- 
ing, is  sometimes  of  benefit  when  the  attack  is  brought  on  by  a  cold,  and  is 
accompanied  by  dry  cough. 

Persons  subject  to  this  complaint  should  take  warm  drinks,  brush  and  rub 
the  body  once  a  week ;  they  may  also  be  benefitted  by  smoking  tobacco  every 
morning. 

Severe  attacks  of  asthma  may  be  greatly  relieved  by  causing  the  patient 
to  inhale  the  fumes  from  burning  blotting-paper  soaked  in  saltpetre. 

Attacks  of  asthma  as  well  as  other  pulmonary  diseases  which  are  brought 
on  by  inhaling  fine  dust,  as  frequently  happens  with  stone-masons,  millers, 
and  others  engaged  in  dusty  occupations  may  be  guarded  against  by  wearing 
soniethitig  before  the  mouth  to  intercept  the  fine  particles  floating  in  the  air. 
Nature  has  furnished  men  with  a  safeguard  from  such  causes  of  pulmonary 
disease  in  the  moustache,  which  the  usages  of  our  country  compel  our  work- 
men to  shave  off,  much  to  the  detriment  of  their  health,  and  not  at  all  to  the 
inii)rovenient  of  their  personal  appearance.  All  the  hair  which  nature  has 
planted  on  our  faces  has  its  uses  and  its  beauties,  both  of  which  a  false  s^'stem 
of  hygiene  and  a  perverted  taste  have  conspired  to  defraud  us  of  until  lately. 

Ipecacuanha  will  be  indicated  when  there  is  a  feeling  of  con- 
striction about  tlie  chest,  panting,  rattling  in  the  windpipe,  as  if 
full  of  mucus,  which  seems  to  be  moving  up  and  down  ;  or  the 
]~>atient  feels  as  if  the  air  were  full  of  dust,  which  prevents  his 
breathing;  gasps  anxiously  for  air,  and  fears  suffocation;  the 
face  pale,  and  Imnds  and  feet  cold.  After  Ipecacuanha  it  may  be 
necessary  to  give  Arsenicum^  Byronia  or  Nux  vomica. 

Arsenicum,  against  the  most  violent  attacks  of  asthma,  espe- 
cially those  occurring  in  consequence  of  suppressed  catarrh,  or 
in  persons  with  weak  and  narrow  chests;  when  worse  about 
midnight,  the  breathing  becoming  more  and  more  difficult,  and 
there  is  a  rattling  in  the  chest,  with  agitation,  moaning,  groaning, 
and  uneasy  tossing  about ;  or  when  old  people  particularly  are 
attacked  by  it  when  walking;  when  there  is  a  pressure  at  times 
about  the  heart,  worse  upon  the  least  motion  or  exercise,  par- 
ticularly When  getting  into  bed. 

If  the  attack  becomes  worse  au;ain  after  the  administration  of 


168  TREATMENT   OF   DISEASES. 

Arsenicnm,  fyecocuanha   will    be    most  suitable ;  or  sometimes 
when  the  aggravation  takes  place  in  the  morning,  Nux  vomica. 

Apium  inrus,  if  the  neck  feels  as  if  it  were  laced  together ; 
the  i';^ion  about  the  short  ribs  as  if  crushed;  more  on  the  left 
side;  if  the  warm  room  is  unbearable  on  account  of  the  heat 
and  headache. 

hryonia  is  of  great  benefit  after  Ipecacuanha^  particularly 
when  exercise  aggravates  the  disease,  and  when  it  arises  from 
suppressed  eruptions  ;  frequent  coughing  and  sighing ;  the  par- 
oxysms come  on  at  night,  and  are  attended  by  pain  in  the 
bowels,  with  inclination  to  evacuate. 

Belladonna  is  most  suitable  when  the- attacks  are  made  worse 
by  motion,  and  the  patient  is,  notwithstanding,  unable  to  rest; 
the  paroxysms  Avorse  by  spells ;  the  respiration  at  times  deep 
and  full,  at  others  quick  and  hurried,  accompanied  by  a  dry 
cough  and  fulness  of  the  chest. 

Arnica  is  indicated  when  not  only  exercise,  but  even  speak- 
ing or  blowing  the  nose  aggravates  the  symptoms ;  the  respira- 
tion heaving  and  oppressed,  with  shooting  pains  in  the  chest. 

Cepa^  if  children  suddenly  awake  in  the  night  with  a  suffo- 
cating cough ;  particularly  if  they  had  been  in  the  open  air 
during  damp  weather.  Euphrasia  under  similar  circumstances. 
See  what  was  said  of  these  two  remedies  under  "Cough." 

Chiim,  when  there  is  whistling  and  wheezing  in  the  chest 
during  inspiration  ;  the  phlegm  on  the  chest  threatens  to  suftb- 
cate  the  patient.  If  the  attack  begins  on  awaking  at  night ;  ina- 
bility to  breathe,  unless  when  lying  with  the  head  very  high; 
the  patient  perspires  easily,  and  is  liable  to  take  cold. 

Coffea,  in  very  sensitive  persons,  who  are  liable  to  attacks  of 
asthma  in  consequence  of  mental  emotions ;  when  inspiration 
can  only  be  performed  in  short  jerks,  with  agitation,  uneasiness, 
heat,  perspiration.  If  this  does  not  give  relief  in  attacks  of  this 
kind,  it  may  be  followed  by  Aconite,  or  these  remedies  may  be 
alternated.  Pulsatilla,  too,  at  a  later  period,  may  be  of  service 
for  timid,  fretful  patients ;  and  Nux  vomica  for  those  of  a  violent, 
passionate  temper.     If  mortification  or  suppressed  vexation  is 


CHAP.  V.  AFFECTIONS    OF   TKK    CHEST.  169 

the  cause,  TgnaUa;  if  violent  vexation  and  anger,  or  quarrelling, 
Chamomilla  will  pn^bably  be  indicated. 

Chamomilla  is  also  serviceable  when  there  is  frequent  inclina- 
tion to  cough,  without  actual  coughing,  with  great  pressure  about 
the  chest  and  heart,  or  when  the  patient  cannot  perspire. 

Pulsatilla^  especially  in  femah-s  or  persons  of  mild  character, 
and  the  attack  is  attended  with  giddiness  and  weakness  in  the 
hjcul,  drowsiness,  palpitation  of  the  heart,  heat  in  the  chest;  the 
breath  sterns  to  be  stopped  in  the  lower  part  of  the  chest. 

Samhucus,  quick  and  labored  respii'ation,  with  loud  wheezing; 
sense  of  weight  on  the  chest,  with  anguish  and  dread  of  suffoca- 
tion ;  swelling  and  blueness  of  the  face  and  hands;  heat,  trem- 
bling; inability  to  speak  above  a  whisper;  cough  suffocating;  the 
symptoms  are  aggravated  by  lying  down,  particularly  if  there 
is  perspiration  about  the  neck. 

Sulphur  ;  short  wheezing,  obstructed  respiration  with  anxiety 
and  fear  of  suftbcation ;  the  attacks  come  on  when  lying  down 
at  night,  or  during  sleep;  sensation  as  if  the  chest  were  con- 
tracted ;  rattling  of  mucus  in  the  chest;  fubiess,  and  pressure  as 
if  from  a  stone  on  the  chest ;  cough  sometimes  dry  and  fatiguing, 
at  others  moist,  with  profuse  expectoration  of  thick  whitish  or 
yellowish  mucus;  blueness  of  the  face  and  inability  to  speak; 
and  palpitation  of  the  heart. 

Phosphorus,  when  the  attack  comes  on  at  night  or  towards 
morning,  is  apparently  caused  by  some  over-exertion  or  expo- 
sure the  previous  day,  and  when  the  expectoration  is  serous, 
filled  with  very  minule  air-bubbles,  and  either  yellowish  or 
brownish. 

Veratrum  is  often  suitable  after  Ipecacuanha^  Arsemciim.^  China, 
Arnica;  particuhtrly  when  the  patient  is  almost  suffocating. 
Als(j,  if  worse  when  sitting  up,  and  wdien  in  motion,  with  pain 
ill  the  side,  a  hollow  cough  at  times;  when  a  cold  perspiration 
breaks  out,  or  when  the  face  and  limbs  become  cold;  particu- 
larly when  partial  relief  is  obtained  by  lying  quiet 

16 


170  TREATMENT   OF   DISEASES. 


I 


Pleurisy,  Stitch  in  the  Side  and  Inflammation  of 
the  Lungs. 

Accordinjr  to  the  Old  School  practice  these  complaints  cannot  be  cured 
witiioiit  hloud-lettinir.  Every  one  wlio  really  understands  homoeopathy  can 
always  cure  without  blood-letting.  Ail  cases  of  simple,  common  inflammation 
can  be  cured  very  easily  and  in  a  short  time. 

A  complete  description,  scientific  names,  &c.,  of  these  different  complaints 
would  be  entirely  out  of  place  in  a  domestic  work  like  the  present.  Here 
plain  descriptions  will  be  given,  without  any  learned  terms,  so  that  everyone 
can  understand  them  and  know  which  cases  are  really  dangerous.  All  bad 
cases  must  be  treated  by  a  homoeopathic  physician. 

'riie  chief  symptoms,  which  distinguish  these  cases  from  shortness  of  breath 
or  asthma  are  :  the  great  difficulty  of  breathing  and  the  heat  of  the  breavh, 
which  is  as  hot  as  tiie  breath  of  a  person  who  has  worked  hard  in  the  heat  ; 
in  A-a/i/ii.i  the  breath  is  not  warmer  than  usual.  In  the  former  complaint 
there  is  always  cough,  generally  with  no  expectoration  or  only  a  little  saliva, 
sometimes  mixed  with  blood,  or  a  frothy,  brownish  expectoration.  The  pains 
are  dilTerent  in  the  ditfereut  kinds. 

Very  painful  stitches  when  breathing  are  not  always  signs  of  pleurisy;  if 
they  are  not  accompanied  by  coughing  or  at  least  not  by  much,  if  they  aid 
not  commence  with  a  heavy  chill,  it  is  only  false  pleurisy  or  stitrk  in  the  .side. 
It  commences  usually  with  rheumatic  pains  about  the  neck  and  shoialders. 
Jf  the  pain  ,-hifls  its  place,  if  the  chest  is  painful  to  the  touch,  and  if  the 
passing  of  your  finger  along  the  chest  between  the  ribs  causes  pain  it  is  false 
PLEURISY  and  not  inflammation. 

All  such  cases  are  most  always  cured  by  a  single  dose  of 
Arnica;  if  that  does  no  good  take  Bryonia,  Nux  vomica.,  or  Pul 
satilla. 

Bryonia^  if  the  pain  is  acute.,  darting,  a,s  if  from  a  sharp  instru 
ment  running  into  the  side,  almost  insupportable  during  respi- 
ration or  even  the  slightest  movement  of  the  body ;  and  if  the 
patient  is  of  a  nervous  temperament. 

Nvx  vomica.  Shooting  pains  in  the  sides  increased  by  breath- 
ing; particularly  for  hypochondriacal  patients,  and  such  who 
indulged  in  spirituous  drinks;  pidnful  sensibility  of  the  outside 
of  the  chest,  particularly  of  the  spaces  between  the  ribs. 

Pulsatilla,  if  the  pain  shifts  from  one  part  of  the  chest  to 
another,  becon^ing  increased  towards  evening  and  sometimea 
more  during  expiration  than  inspiration. 

'J'he  pains  are  sometimes  lower  down,  there  is  difficulty  of 
breathing,  more  so  in  expiring  than  in  inspiring,  in  real  pleurisj? 


CHAP.  V.  AFFECTIONS   OF   THE   CHEST.  171 

it  is  just    the  contrary.     Give  Pulsatilla,  or  Arnioa^  or   other 
renieclies  for  rheumatism. 

If  one  has  rheumatic  pains  and  they  fall  suddenly  on  the 
chest,  as  if  a  heavy  load  was  upon  the  breast  with  great  anxiety  ; 
if  tlie  heart  beats  violently  and  very  fast;  if  the  breathing  be- 
comes constantly  more  difficult ;  if  coughing  is  quite  impossible ; 
if  the  limbs,  from  which  the  pains  have  disappeared,  are  getting 
cold — there  is  very  great  danger.  If  the  patient  is  bled  he  will 
most  certainly  die  ;  some  cases  of  this  kind  have  been  cured  by 
Aconite^  repeated  every  two,  three  to  four  hours,  and  after  it  did 
no  longer  improve,  Pulsatilla  and  Sulphur  alternately. 

Pleurtsy  is  known  by  the  chill  with  which  it  commences,  hj  the  fever  and 
cough;  the  breath  is  hot;  the  pulse  hard;  breathing  is  impeded  by  a  stitch, 
commonly  under  the  ribs  of  one  side,  upon  which  side  the  patient  likes  to  lie; 
coughing  is  very  painful  and  violent;  the  expectoration  generally  nothing  but 
bloody  saliva  :  the  face  pale ;  the  patient  likes  to  talk,  but  is  prevented  by 
the  pain  ;  the  patient  feels  better  towards  morning,  and  the  skin  becomes 
moist. 

Pleurisy  is  not  so  dangerous.  Blood-letting  is  entirely  useless  and  often 
injurious. 

Aconite  is  the  chief  remedy  and  in  most  instances  it  is  suffi- 
cient to  effect  a  complete  cure.  The  medicine  should  be  con- 
tinued uiitil  the  pain,  heat,  thirst  and  cough  have  sensibly 
diminished. 

Bryonia  is  indicated  by  the  following  symptoms :  Acute 
shooting  pains  in  the  chest  increased  by  inspiration  or  move- 
ment of  the  body ;  dry  cough  or  cough  followed  by  expectora- 
tion of  yellowish,  dirty  or  bloody  mucus ;  oppressed  respiration  ; 
yellowish  tongue  ;  palpitation  of  the  heart ;  constipation;  bitter 
taste,  nausea  and  sometimes  vomiting  of  mucus;  aching  in  the 
limbs  ;  hot  skin,  violent  thirst,  cough  when  lying  on  the  right 
side. 

Sulphur  when  Bryonia  has  removed  the  pain,  if  there  is  still 
some  sensitiveness  remaining,  particularly  on  motion  and  expo- 
sure to  the  air. 

Although  these  three  remedies  will,  in  a  great  majority  of 
cases,  be  sufficient  to  effect  a  cure,  yet  it  will,  in  some  instances, 
be  neccssar}^  to  resort  to  one  or  more  of  the  following : 


172  TREATMENT   OF   DISEASES. 

Belladonna^  if  the  fever  returns,  or  the  pain  and  difficulty  of 
breathing  continue,  and  in  those  cases  in  which  there  is  violent 
pain  in  the  bead,  with  great  heat,  incoherent  talking,  &c. 

Arnica  against  pleurisy  resulting  fro na  external  injury;  also 
in  cases  in  which  the  fever  has  been  subdued  by  Aconite,  but 
tlicre  is  still  pain  and  difficulty  of  breathing  remaining. 

Merciiriiis,  when  the  fever  has  diminished,  but  there  is  still 
a  good  deal  of  pain  and  difficulty  of  breathing  remaining. 

Arsenicum,  in  protracted  cases,  when  there  is  extreme  prostra- 
tion of  strength,  and  the  breathing  painfally  oppressed. 

China  in  those  cases  in  which  bleeding  has  been  resorted  to, 
and  the  patient  is  very  weak  and  debilitated.  It  may  be  fol- 
lowed by  Ferrum. 

Lycopodium,  Arsenicum  and  Phosphorus  are  chiefly  to  be  relied 
on  in  chronic  cases,  when,  through  neglect,  bad  management,  or 
constitutional  predisposition,  there  is  danger  of  consumption, 
with  purulent  expectoration,  protracted  cough,  dropsical  swel- 
lings, &;c. 

Infiammafion  of  the  Ltaiffn.  Pneiimonin,  is  much  more  dangerous.  It  begins 
also  with  a  chill ;  the  fever  does  not  decrease  towards  morning,  the  skin  is 
always  hot  and  dry.  pulse  at  first  soft  and  beats  about  five  times  to  each  res- 
piration, afterwards  it  becomes  hard  ;  the  breath  is  also  hot,  but  the  breathing 
is  not  so  much  impeded  by  stitches  as  in  pleurisy  ;  the  pains  are  more  pres- 
sing in  the  middle  of  the  chest ;  breathing  is  faster :  coughing  not  so  frequent, 
but  more  painful  and  of  longer  duration  and  causes  often  headache ;  the  face 
is  from  the  first  bluish-red  with  red  cheeks;  the  patient  lies  upon  the  back, 
not  upon  the  side  ;  wants  to  be  let  alone  and  does  not  like  to  speak  ;  some- 
times he  is  cross  and  don't  care  for  anything.  Most  always  one  of  the  large 
veins  of  the  neck  is  swollen  and  thicker  than  the  one  on  the  other  side,  it  is 
generally  the  left  one.  this  does  not  happen  in  other  kinds.  The  cough  is 
very  often  dry  at  first,  afterwards  a  little  blood  is  brought  up,  mixed  with 
mucus. 

'I'he  danger  is  over  as  soon  as  the  expectoration  becomes  copious  and 
thick,  with  frequent  coughing,  the  pressure  upon  the  chest  decreases  and  the 
skin  remains  moist. 

Aconite  for  hot,  burning  skin,  hard,  small  and  frequent  pulse, 
hot  breath,  violent  thirst;  either  accompanied  or  not  by  pain  in 
the  chest. 

Bryonia  after  Aconite,  in  alternation  witli  it  or  alone,  for  the 
f)llowing  symptoms:  cough,  with  expectoration  of  tenaciou.- 
uiucas  of  a  reddish  or  rusty  color;  great  difficulty  of  breathing. 


CHAP.  V.  AFFECTIONS    OF   THE    CHEST.  173 

and  acute  shooting  pain  in  the  side  or  chest;  .rheumatic  pains  in 
the  lin-ibs  or  in  the  muscles  of  tlie  ch^'st;  pain  increased  by 
movement;  yellowish  or  dark  coated  tongue,  and  constipation. 

Phf'Sj^horKS  to  persons  with  weak  conformation  of  the  chest, 
csp^'cially  those  of  a  fair  compltxion,  who  are  subject  to  repeated 
attacks  of  inflammation. 

Belladonna  will  be  useful  after  Aconite,  if  the  fever  returns, 
and  the  oppression  and  pains  in  the  chest  continue,  especially 
if  the  pain  is  felt  at  the  lower  and  middle  portion  of  the  chest; 
the  expectoration  bloody,  scant  and  difficult;  great  thirst; 
flushed  face  ;  cracked  and  dry  tongue  and  lips  ;  restlessness ; 
pain  in  the  head  and  delirium. 

Hyoscyamus  and  Opium  sometimes,  when  the  head  is  much 
affected. 

Mercurius,  when  the  fever  is  not  so  active;  the  pain  and  diffi- 
culty of  breathing  still  continuing,  with  profuse  night  sweats; 
the  pnlse  weak,  but  frei^uent.  If  perspiration  breaks  out  on  the 
chest  of  old  people,  Mercuriiis  will  cure  them. 

Tartarus  emetic,  when  there  is  oppression  of  the  chest,  with 
little  or  no  pain;  scanty  expectoration  of  viscid  mucus;  with 
great  weakness,  and  disposition  to  vomit  or  vomiting  of  mucus. 

jSidphur,  when  there  is  profuse  purulent  expectoration,  short- 
ness of  breath,  and  constipation. 

Arsenicum,  in  cases  in  which  there  is  great  debility,  with 
diarrhoea,  clamni}^  sweats,  anxious  expression  of  countenance,  &o. 

Rhus — congestion,  with  palpitation  of  the  heart,  restlessness, 
redness  of  the  face,  &c. 

China,  when  bleeding  has  been  resorted  to,  and  the  strength 
of  the  patient  is  very  much  reduced.  Lachesis,  ^anguinaria  and 
Arsenicum.,  in  cases  with  extremely  offensive  expectoration  and 
breath. 

The  diet  ought  to  be  carefully  attended  to  during  the  con- 
tinuance of  the  disease  and  for  a  week  or  two  after  recovery. 
The  food  should  be  of  the  simplest  kinds,  and  partaken  of 
sparingly.  The  drinks  should  consist  of  water,  toast  water,  rice 
or  barley  water,  sweetened  with  sugar. 

16* 


174  TREATMENT   OF   DISEASES. 

There  is  anofhrv  hind  of  Inflammafion  nf  Ihe  Limys  in  which  hlood-lettiug 
is  hi^'iiiy  daiijiTroiis,  this  kind  is  Icnown  by  the  Ibllowing'  symptoms  : 

Pulso  usiuilly  very  suit,  hilt  ciiiick,  I'eeble  ;  neither  bad,  piiint'ul  stitches, 
Dor  pressure  on'particnlar  spots,  but  stitches  in  the  side  when  breathing  deep  ; 
anxiety  and  jireat  heaviness  in  tlie  lungs  ;  breathing  very  extraordinarit'  'ast  ; 
conghlVoni  the  first,  very  I'reciuent,  usually  only  in  short  spells  and  iiearly 
always  bloody  saliva  on  the  first  day,  increasing  constantly.  The  voice  is 
feeble  and  low,  becomes  finally  hissing  and  talking  causes  violent  coughing. 
In  spile  of  great  anxii-iy  tin:  palii-nl  is  not  so  cross  and  the  head  not  so  much 
affected,  as  in  the  rormei-  kind.  The  fever  is  less  in  the  morning  ;  though  the 
skin  is  always  moist,  ihe  ]iaticnt  is  not  relieved  thereby. 

The  patient  is  getting  lieiter  as  soon  as  a  thick  expectoration  appears,  the 
breathing  becomes  slower  :inil  the  fever  comes  at  longer  intervals. 

Aconite  at  tlio  coimnciieciiient  of  the  disease  if  there  is  consi- 
djnible  fever. 

Mf.rcarius  wlicu  tlicrc  i.s  nigl it-sweat,  or  cold,  clammy  skin. 

BeUadimna  after  Aconilc  and  Jferciirius,  if  there  remains  a  dry, 
hacking  cough,  accompanied  liy  a  constriction  of  the  chest,  which 
obstructs  respiration  and  pi-inluces  a  sensation  of  suffocation. 

Carlo  vegeiahilis,  if  tlie  patient  is'greatly  debilitated,  the  pulse 
scarcely  perceptible,  the  skin  and  breath  cold,  and  the  expecto- 
ration Occasionally  of  a  reddish  brown  ct)lor. 

Phosplionis,  if  tliei"e  is.  a  feeling  of  oppression  or  dull  weight 
in  one  si'le  of  the  chest,  and  the  expectoration  is  rusty-colored 
or  3'ellowish. 

Chaniomilla^  if  the  breathing  is  still  difficult  and  attended  by 
a  whi.stling  or  wheezing  sound  ;  it  may,  if  necessary,  be  followed 
by  Nux  vomica. 

fpecacuanha  may  be  given  after  Mercitrms,  if  the  respiration 
is  very  rapid  and  difiicult,  and  the  latter  remedy  fails  to  afford 
relit- f.     It  may  be  repeated  several  times. 

Veratrum,  when  the  extremities  become  cold,  the  constriction 
of  the  chest  and  difficulty  of  breathing  increasing. 

ArsenicuTTi^  when  there  is  great  prostration  of  strength  and 
sinlciiig;  it  will  sometimes  be  successful  in  restoring  apparently 
hopeless  cases. 

If  after  sujipressed  inflammation,  profuse  purulent  expectora- 
tion sets  in,  Mercurins,  Htpai\  Snlj^hur,  China  Dulcamara  and 
sometimes  Pulsatilla  will  be  of  service. 


CHAP.  V.         AFFECTIONS  OF  THE  CHEST.  175 

Tliere  is  still  another  sloic,  insidunis  Trflamviation  of  the  Lvrutft,  in  which 
blood-letting  is  downright  murder  It  is  often  extromely  insidious  in  ita 
ap])ro;K'h,  the  symptoms  being  so  slight  that  no  serious  mischief  is  suspected, 
till  suddenly  oppression,  with  great  difficulty  of  respiration,  and  irregular 
motions  of  the  chest  set  in,  and  death  takes  ])lace  in  a  very  short  time  from 
congestion  of  the  lungs.  The  patient  however,  generally  complains  of  severe 
headache,  loss  of  appetite  and  inability  to  sleep  for  a  day  or  two,  and  is  then 
snddeidy  taken  with  a  chill.  This  is  followed  by  more  or  less  oppression  of 
the  chest  and  shortness  of  breath,  with  slow  fever,  the  pulse  weak  and  quick, 
some  heat  of  surface,  the  urine  high-colored  and  scanty.  As  the  disease 
progresses,  the  mind  of  the  patient  begins  to  wander;  he  talks  and  mutters 
continually,  yet  when  questioned  answers  correctly 

'I'lie  pulse  becomes  irregular;  the  respiration  still  shorter,  unequal  and 
rattling  ;  the  evacuations  take  place  involuntarily,  or  are  sometimes  suppressed 
entirely ;  the  face  assumes  a  greyish  hue,  the  nose  is  dry,  the  lips  and  tongue 
dry,  black  and  cracked,  and  the  forehead  is  covered  with  a  clammy  perspiration. 
'J"he  cough,  even  in  the  beginning  of  the  disease,  is  generally  slight,  and  the 
expectoration,  if  any,  white  or  yellowish,  and  but  seldom  mixed  with  blood. 

ViiUl  plai/u/;  is  also  another  name  given  to  those  violent  cases  which  are 
suidenly  taken  with  a  chill  and  cold  skin,  and  often  die  without  reaction 
taking  place. 

A  favorable  indication  during  the  course  of  the  disease  is  the  breaking  out 
of  a  general  odorous  perspiration  over  the  whole  body,  or  the  appearance  of 
small  shining  grains  in  the  urine. 

If  no  physician  can  be  had,  the  following  remedies  may  be  given  : 

Ojyium  in  the  commencement.  It  may  be  repeated  two  or 
three  times. 

Arnica  should  follow  02Jium  if  the  latter  does  not  produce  a 
favorable  change. 

Veratrum,  if  the  foregoing  remedies  effect  no  improvement, 
and  the  patient  becomes  exceedingly  weak,  with  clammy  perspi- 
ration on  the  forehead;  difficult,  unequal  and  rattling  respiration, 
and  coldness  of  tlie  extremities. 

Arsenicum  may  be  given  after  Veratriim,  if  the  weakness  and 
rattling  respiration  increase,  the  pnlse  becomes  irregular,  very 
small  and  quick,  the  complexion  oartliy,  tlie  tongue  dark  brown 
or  black,  and  dry.  These  two  remedies  may  be  given  alternately 
at  intervals  of  two,  four  or  six  hours,  according  to  the  urgency 
of  the  case. 

fyecaciianha  sometimes  after  or  in  alternation  with  Veratrum. 
After  Ipecacuanha^  Arsenicum  is  freijuently  useful. 

Stdjihur,  if  the  improvement  from  any  of  the  Riregoing  reme- 
lies  be  but  temporary  ;  and  then  again,  Veratrum,  Opium,  Arseni- 


176  TREATMENT   OF   DISEASES. 

cuvi,  or  any  one  of  them  whicli  had  previously  been  followed  by 
a  marked  degree  of  improvement. 

Belladonna  will  remove  attacks  of  blindness,  occurring  in  the 
course  of  the  disease. 

Natriim  muriaticum  will  sometimes  remove  the  increasing 
weakness  and  prostration  of  strength,  after  the  foilure  oi  Arseni- 
cum and  the  other  remedies,  and  entirely  change  the  aspect  of 
tlie  disease. 

Cliina  and  Arsenicum  must  be  administered  alternately,  if 
galling  or  excoriation  take  place  from  lying  in  bed. 

Consumption  of  the  Lungs 

Ought  always  be  treated  by  a  homoeopathic  physician.  The 
alloeopathists  pour  fish -oil  into  the  patient,  expecting  it  would 
keep  up  11  fc;  as  it  does  the  light  in  a  lamp. 

Contusion  or  Concussion  of  the  Chest. 

In  Part  First  of  this  book.  Arnica  is  prescribed  for  injuries  of 
this  kind,  wliich  is  always  better  than  bleeding ;  in  hemorrhage 
it  was  observed  under  what  circumstances  Arnica  ought  to 
alternate  with  Aconite,  viz:  in  cases  where  the  fever  continues, 
is  worse  in  the  evening,  with  a  pain  as  from  an  ulcer  in  the 
chest;  afterwards,  if  these  are  insufficient,  give  Pulsaiilla ;  but 
if  there  is  cough  with  expectoration  of  thick  yellow  mucus, 
Mercnrins  will  be  the  most  appropriate  remedy ;  if  the  expecto- 
ration has  a  sweet  taste,  and  the  breathing  is  asthmatic,  Nux 
vomica;  "if  other  symptoms,  such  as  a  dry,  hacking  cough, 
oppressed  breathing,  pale  complexion,  bad  appetite  or  sleepless- 
ness, China;  if  pain  remains  in  the  whole  chest,  particularly 
about  the  short  ribs,  as  if  bruised  or  crushed,  give  Apium  virus. 

If  there  remain  undefined  complaints,  weak  chest,  flying 
pains,  or  a  pain  as  if  something  was  pierced  through  the  chest, 
give  Sulphur. 


CHAP.  VI.  AFFECTIONS   OF   THE   THEOAT.  177 

CHAPTER    YI. 

AFFECTIONS  OF  THE  THROAT. 

Sore  Throat  or  Quinsey. 

The  various  affections  producing  a  troublesome  pain  in  the  thioat  pass 
under  the  general  name  of  sore  throat.  In  order  to  examine  the  throat,  place 
the  patient  in  the  light  near  a  high  window,  if  possible;  let  him  open  his 
mouth  wide  and  push  his  tongue  forward,  while  you  introduce  the  handle  of  a 
spoon  and  press  down  the  back  part  of  the  tongue,  but  not  with  too  much 
violence ;  by  this  means  the  whole  of  the  inside  may  be  examined.  Persons 
not  familiar  with  this  simple  practice,  and  who,  of  course,  must  needs  take  a 
longer  time  in  the  examination,  should  first  let  the  patient  open  his  mouth, 
hold  back  his  head  and  put  out  his  tongue,  that  they  may  examine  the  upper 
part  of  the  throat.  Then  let  him  rest  awhile,  after  which  let  him,  a  second 
time,  open  his  mouth  wide  that  a  spoon  handle  may  be  introduced,  and  the 
back  of  the  tongue  pressed  down  gently,  so  that  the  small  palate  with  the 
tonsils  and  the  interior  part  of  the  throat  are  exposed  to  view.  The  use  of 
the  spoon  to  press  down  the  tongue  may  often  be  avoided  by  directing  the 
patient  to  open  his  mouth  wide  and  draw  in  his  breath  forcibly,  the  tongue 
then  generally  goes  down  and  the  soft  palate  goes  up  during  the  inspiration. 
]n  chikiren  who  will  generally  resist  this  examination,  it  is  sonif^times  neces- 
sary to  put  a  cork  between  the  teeth  ;  care,  however,  should  be  taken  that, 
in  press. ng  down  the  tongue,  no  injury  is  done. 

Then  »  ompare  the  remarks  of  the  patient,  and  yonr  own  observations  with 
the  synip,  oms  of  the  medicines  recommended.  In  cases  with  hoarseness,  look 
under  this  head. 

An  exce.'ent  domestic  remedy  for  sore  throat  when  it  first  comes  on,  and 
one  that  is  i.  '^tantly  available,  is  to  put  two  or  three  folds  of  linen  rag,  that 
has  been  dippx.  J  'n  cold  water,  around  the  neck,  and  over  this  a  roll  of  flannel 
or  a  long  worstca  stocking.  The  patient  should  go  to  bed  when  this  is  ap- 
plied and  he  will  often  be  surprised  and  delighted  to  find  that  his  sore  throat 
is  gone  hy  the  morning.  Men  who  suffer  frequently  from  sore  throat  should 
allow  their  beards  to  grow  beneath  the  chin  ;  women  should  wear  fur  boas  in 
cold  damp  weather,  but  in  fine  weather  the  throat  should  not  be  nwieh  wrapped 
up.  It  is  good  to  wash  the  neck  every  morning  with  cold  water,  and  after- 
wards rub  it  well. 

Gargling  the  throat  with  irritating  substances,  is  an  old  and  pernicious 
practice,  which  has  been  abandoneded  entirely,  even  by  the  better  physicians 
of  the  old  school.  When  the  throat  is  dry,  swollen  and  very  painful,  the 
patient  mav  inhale  the  vapor  of  hot  water  by  holding  his  mouth  over  a  jug 
half  filled  with  it. 

Aconite,  when  the  patient  li:is  difficulty  and  pain  in  swallow- 
ing or  in   speaking;  wlien  the   throat  is  much  more  red  than 
usual;  and   for  a  burning,  pricking,  or  contracting  sensation, 
accompanied  by  fever,  nervousness,  impatience  and  uneasiness. 
n 


178  TREATMENT   OF   DISEASES. 

Belladonna,  when  the  outside  of  the  throat  is  swollen,  and 
drinking  produces  spasms  in  the  throat,  the  fluids  returning 
throuffh  the  nose;  constant  disposition  to  swallow;  pricking 
pain  on  swallowing  and  on  touching  the  throat;  swallowing 
difficult,  producing  spasms,  or  entirely  impossible;  the  throat 
feels  as  if  there  were  a  plug  in  it;  a  dry,  burning  sensation  in 
the  throat,  and  a  disposition  to  hawk  up  something;  when  not 
swallowing,  tearing  pain  extending  to  the  lower  jaws,  or  up  into 
the  head  ;  ulcers  in  the  throat,  which  appear  very  suddenly  and 
spread  rapidly,  tonsils  and  the  small  palate  swollen,  and  of  a  bright 
or  yellowish  red  color,  or  redness  without  swelling;  violent  pains 
when  swallowing  and  hawking,  sometimes  even  when  speaking; 
pressing,  shooting  pain  in  the  tonsils,  which  seem  as  if  they 
would  burst,  the  glands  swollen  outside,  accompanied  by  violent 
fever,  and  sometimes  thirst;  profuse  salivation,  pain  in  the  fore- 
head, and  furred  tongue.  During  the  prevalence  of  scarlet  fever, 
Belladonna  is  most  suitable  for  sore  throat. 

Afercuniis  in  cases  similar  to  Belladonna,  when  the  latter  is 
insufficient,  and  the  throat  continues  swollen,  very  red,  or  be- 
comes ulcerated.  When  the  ulcers  are  not  painful,  and  come  on 
slowly,  Belladonna  is  of  no  use,  but  Mercurius  must  be  given, 
and  may  be  sometimes  alternated  with  Hepar.  In  the  beginning 
of  the  disease,  it  is  more  suitable  than  the  preceding  remedy,  if 
the  pricking  pains  are  very  violent  when  swallowing,  extending 
to  the  ears  or  to  the  glands  of  the  throat,  and  to  the  lower  jaw; 
when  the  burning  in  the  throat  scarcely  allows  the  patient  to 
swallow,  with  stitches  in  the  tonsils,  and  a  very  disagreeable 
taste  in  the  mouth,  the  gums  and  back  part  of  the  tongue  swol- 
len, with  abundant  discharge  of  saliva;  in  the  evening,  chills  or 
heat,  followed  by  perspiration,  which  does  not  relieve ;  uneasi- 
ness, or  an  aggravation  of  all  the  symptoms  during  the  night ; 
also  worse  in  the  air ;  accompanied  by  pain  and  drawing  in  the 
neck  and  throat  outside;  after  Belladonna  or  Mercurius  the  pa- 
tient ought  to  avoid  taking  cold. 

Hepar  ater  Mercurius    particularly  after  taking  fresh  cold; 


CHAP.  Vr.  AFFECTIONS   OF   THE   THROAT.  179 

after  Hepar,  Mercurius  may  be  given  again  if  there  is  no  improve- 
ment. 

Lachesis  may  be  given  when  Belladonna^  Mercurius  or  Hepar 
seems  to  be  indicated,  but  does  not  suffice;  if  the  small  palate 
is  swelled  ;  continual  disposition  to  swallow  ;  profuse  salivation  ; 
accumulation  of  phlegm  in  the  throat ;  bad  ulcers ;  spasms  which 
prevent  drinking ;  the  throat  is  very  sensitive  to  the  slightest  touchy 
even  to  that  of  the  bed  clothes ;  all  the  symptoms  are  worse 
after  sleeping.  It  is  more  suitable  for  persons  who  have  taken 
much  mercury. 

Ghamomilla  often  answers  for  children,  or  when  the  complaint 
is  caused  b}'  a  cold,  from  exposure  to  a  draught  of  air  while  in 
a  state  of  perspiration.  And  besides  the  symptoms  mentioned 
under  Aconite,  for  dryness  in  the  throat,  with  thirst;  feeling  of 
obstruction  when  swallowing  and  when  bending  the  neck.  It 
appears  to  the  patient  as  if  something  were  sticking  in  the 
throat,  which  he  has  a  constant  desire  to  remove,  but  cannot ; 
throbbing  pain  and  swelling  of  the  glands  of  the  lower  jaw ; 
fever,  generally  occurring  in  the  evening,  either  accompanied 
with  heat  or  with  cold,  sometimes  with  a  catarrh  and  tickling  in 
the  throat,  a  pricking  pain  in  the  larynx,  and  hoarseness.  After 
taking  this  remedy,  perspiration  not  unfrequently  ensues,  which 
must  not  be  interfered  with  by  giving  other  medicines. 

Ignatia  for  cases  similar  to  those  mentioned  under  Ghamo- 
milla^ when  there  is  a  constant  feeling  as  if  there  were  a  lump 
in  the  throat ;  a  sore  spot  in  the  throat  when  swallowing ;  acute, 
shooting  pain,  which  sometimes  is  experienced  only  when  the 
patient  is  not  swallowing.  Fluids  are  more  difficult  to  swallow 
than  solid  food.  The  same  remedy  answers  when  the  tonsils 
are  swollen  and  inflamed,  ulcerated  or  hard.  Before,  however, 
deciding  on  this  medicine,  compare  what  is  said  under  Bella- 
donna^ Mercurius^  Hepar  and  Sulphur.  For  ulcers  on  the  tonsils 
which  do  not  appear  to  be  deep,  give  Ignatia^  and  afterwards 
Lycopodium. 

Nuxvomica^m  cases  similar  to  those  mentioned  under  Chamo- 
milla  and  IgnaUa  ;  especially  for  a  sensation  as  if  there  were  a 


180 


TREATMENT   OF   DISEASES. 


plug  or  lump  in  the  throat,  particular!}'  when  swallowii  g  ;  with 
pains  rather  pressing  than  shooting,  worse  on  swallowing  the 
saliva.  The  throat  feels  raw  and  excoriated,  or  as  if  scraped  and 
rough;  the  cold  air  affects  the  throat  painfully ;  sometimes  the 
small  palate  is  swollen  and  red. 

Piihatilla  for  the  same  sensation  on  swallowing  as  described 
under  Nxix  vomica,  or  the  throat  appears  too  narrow,  as  if  ob- 
structed from  a  swelling;  redness  and  sensation  of  scraping; 
dryness  of  the  throat  without  thirst;  shooting  pains  in  the 
throat,  worse  when  swallowing ;  a  feeling  of  tension  in  the 
throat ;  the  glands  on  the  neck  are  painful  when  touched ;  the 
interior  of  the  throat  is  more  of  a  bluish-red ;  the  fever  is  unac- 
companied by  thirst;  chilliness  in  the  evening,  followed  by  heat. 

Bryonia^  when  the  throat  is  painful  on  being  touched,  or  on 
turning  the  head  ;  swallowing  difficult  and  painful,  as  if  a  hard 
substance  were  in  the  throat;  shooting  pains  and  soreness, 
attended  with  dryness,  or  a  feeling  of  dryness,  which  renders 
speaking  difficult.  These  symptoms  commonly  occur  after 
being  overheated,  or  after  eating  ice  or  drinking  ice-water; 
they  are  frequently  accompanied  by  fever,  either  with  or  with- 
out tliirst,  and  great  irritability. 

Rhus  for  symptoms  similar  to  those  under  Bryonia^  except 
that  the  pains  extend  further  down,  and  the  patient  is  more 
inclined  to  weep,  and  when  Bryonia  does  not  effect  a  complete 
cure. 

Capsicum  for  symptoms  similar  to  those  previously  men- 
tioned ;  it  may  be  given  when  the  other  remedies  do  not  suffice; 
when  the  fever  continues,  with  chills  and  thirst,  followed  by 
heat ;  the  pains  particularly  oppressive,  the  throat  spasmodically 
contracted;  excoriations  and  ulcers  in  the  throat  and  mouth, 
with  a  sensation  of  burning;  at  the  same  time  cough,  with  vio- 
lent pain  in  the  throat.  It  is  particularly  indicated  when  the 
patient  wants  to  be  always  in  bed,  and  is  disposed  to  sleep ;  is 
afraid  of  the  air  and  cold. 

Apium  virus,  if  the  patient  is  always  chilly  and  afraid  of  the 
open  air,  yet  cannot  bear  a  closed  room,  particularly  not  when 


CHAP.  VI.        AFFECTIONS  OF  THE  THROAT.  181 

heated ;  if  he  is  hot,  but  not  thirsty ;  if  he  has  had  nettle-rash  ; 
if  the  tongue  and  throat  are  as  if  scalded  ;  burning  blisters  on 
the  left  margin  of  the  tongue;  dryness  and  redness  of  the 
mouth  and  throat,  thick  saliva ;  tonsils  red  and  swollen  with 
stinging,  burning  and  itching  pains. 

Coffea  for  sore  throat,  accompanied  by  catarrh,  with  a  disposi- 
tion to  cough  ;  worse  in  the  air ;  at  the  same  time  sleeplessness, 
heat,  great  sensitiveness,  inclination  to  weep.  It  may  be  given 
two  or  three  times.  It  is  particularly  applicable  when  pain 
passes  from  the  side  of  the  palate  into  the  throat,  is  constant, 
worse  when  swallowing;  when  the  small  palate  is  swollen  and 
elongated,  feeling  as  of  mucus  in  the  throat  with  constant  efforts 
at  swallowing,  also  dryness  and  heat  in  the  throat. 

Verairum  is  indicated  when  the  throat  is  dry  and  burns,  is 
very  rough  and  sore,  with  pressure  as  if  swollen;  pain  and 
spasms  when  swallowing. 

Cocculus,  when  the  complaint  is  seated  deeper  in  the  throat, 
and  attended  with  pain  when  the  food  passes,  or  dryness  extend- 
ing low  down,  or  when  drinking  produces  a  gurgling  noise. 

Chma  against  dryness  and  pricking  in  the  throat  which  is 
painful  when  swallowing ;  the  complaint  is  worse  after  every 
fresh  exposure  to  the  air ;  pains  which  change  about,  disturb 
the  patient  during  the  night,  and  return  every  time  he  takes 
cold. 

Sulphur  for  frequent  or  continual  sore  throat,  particularly 
when  the  inside  of  the  throat,  the  tonsils  and  the  small  palate 
are  swollen ;  swallowing  is  impeded,  and  besides  the  usual  pains, 
peculiar  pricking  pains,  or  a  sensation  as  if  there  was  a  lump  in 
the  throat,  or  the  throat  was  too  narrow,  with  soreness  or 
dryness. 

If  there  should  be  a  round  swelling  forming  on  one  side  of 
the  throat,  attended  with  stitches  and  throbbing  pain,  which 
may  indicate  an  abscess,  the  suffering  may  be  relieved,  and  sup- 
puration promoted  by  the  repeated  external  application  of  warm 
linseed  poultices,  and  by  holding  in  the  mouth  warm  milk  or 
gruel.     The  patients,  especially  children,  should  be  carefully 

17 


182  TREATMENT   OF   DISEASES. 

watched  during  the  night,  to  prevent  the  danger  of  suffocation 
in  case  the  abscess  should  break. 

Silicea,  ffepar,  Sulphur,  Mercurius,  and  Lachesis  are  the  reme 
dies  which  will  be  of  most  service  in  such  cases. 


CHAPTER    YII. 

AFFECTIONS   OF   THE   TEETH 

Toothache. 

Pains,  originating  in  the  teeth,  sometimes  affect  other  parts  of  the  head, 
as  the  lower  jaw,  the  ear,  the  upper  jaw,  and  the  bones  of  the  face  ;  and  pains 
which  originate  in  these  parts  extend  likewise  to  the  teeth.  "We  append, 
therefore,  "  The  Face-ache"  to  this  chapter.  This  connection  between  the 
difl'erent  parts  of  the  head  show  that  the  cause  of  the  complaint  should  not 
always  be  looked  for  in  carious  teeth.  Hollow  teeth  are  sometimes  painful, 
because  they  are  affected  by  di-ease,  but  their  being  hollow  teeth  does  not 
necessarily  produce  pain  ;  tliey  may  get  hollow  and  decay  altogether  without 
any  pain  whatever ;  if  pain  were  occasioned  by  hollowness,  the  tooth  would 
ache  continually,  while,  on  the  other  hand,  teeth  that  are  not  hollow  may  pain 
most  violently.  "What  is  said  of  exposed  nerves  producing  pain  is  nonsense  ; 
whoever  knows  what  a  nerve  is,  and  will  take  the  trouble  to  reflect,  will  soon 
be  convinced  of  it.  Extraction  of  teeth  is  only  allowable  where  there  exists 
a  fistula,  ulcers  at  the  roots,  and  the  like,  and  as  most  of  these  can  be  cured 
V)y  homcEopathic  remedies,  it  can  only  be  necessary  in  the  few  incurable  cases, 
and  in  children  who  are  shedding  their  teeth  ;  in  all  other  cases  it  is  a  bad 
remedy,  because  the  root  has  to  be  extracted,  and  this  is  injurious  to  the  jaw, 
as  the  root  may  remain  in  it  without  causing  the  least  pain,  when  we  know 
how  to  treat  it.  Anothen  reason  for  deprecating  the  extraction  of  teeth  is, 
that,  as  soon  as  one  has  been  taken  out,  another  begins  to  decay.  "When  the 
teeth  I'emain  in  the  jaw,  the  decay  communicates  itself  but  very  slowly,  except 
in  a  few  diseases  where  the  decay  in  a  short  time  destroys  all  or  most  of  the 
teeth.  But  when  the  disease  is  of  this  nature,  extracting  does  no  good,  not 
even  if  all  the  teeth  are  taken  out,  for  in  this  case  it  will  attack  the  jaw.  Let 
no  one  believe  that  one  tooth  can  affect  another,  make  it  black,  and  commu- 
nicate the  caries  by  contact.  This  is  the  doctrine  of  those  who  get  paid  for 
extracting  them,  but  who  cannot  cure  toothache. 

Most  of  the  tooth  powders  and  tinctures  sold  by  perfumers  and  chemists 
are  injurious.  The  teeth  and  gums  ought  not  to  be  picked  much,  it  is  a  very 
injurious  habit ;  be  careful  in  drinking  to  avoid  extremes  of  hot  and  cold,  and 
keep  the  teeth  clean  by  rinsing  the  mouth  every  morning  and  after  every 
meal.  Many  persons  are  unable  to  keep  their  teeth  clean  and  white  without 
using  some  kind  of  tooth-powder.  All  camphorated  and  prepared  chalk  den- 
tifrices should  be  avoided.  A  good  and  innocuous  tooth-powder  is  made  by 
burning  stale  bread  quite  black,  triturating  it  to  a  fine  powder  in  a  mort>ir, 


CHAP.  VII.  AFFECTIONS   OF   THE   TEETH  183 

washing  it  to  free  it  from  salts,  and  then  drying  it.  Sugar  of  milk  aiid  the 
chalky  portion  of  the  back-bone  of  a  cuttle-fish  are  sold  by  some  homa>opathic 
chemists  as  tooth-powders,  but  they  are  not  so  efficacious  as  this  charcoal 
for  those  whose  teeth  very  readily  become  discolored. 

The  most  pleasant  way  of  cleaning  the  teeth  and  removing  even  the  tartar, 
is  sour  milk.  Rub  the  teeth  with  it,  and  then  rinse  the  mouth  with  warm 
water,  and  you  will  feel  how  clean  the  teeth  have  become. 

If  you  have  toothache,  make  a  timely  selection  of  one  of  the  following 
remedies,  and  in  most  cases  you  will  find  that  they  give  S])eedy  relief. 

The  worst  of  all  the  common  remedies  is  opium  or  laudanum.  It  is  always 
injurious.  Pain  which  has  been  removed  by  opium  is  sure  to  return  with 
redoubled  violence  some  time  or  other.  But  it  is  very  seldom  the  true 
remedy,  and  when  it  is,  the  best  way  to  use  it  is  to  tie  a  piece  of  opium  of  the 
size  of  a  pea  on  the  outside  of  the  cheek.  Creosote  ought  to  be  used  with 
the  greatest  caution  ;  in  many  cases  it  is  of  no  use,  for  instance,  in  the  case 
of  females  in  pregnancy,  very  rarely  ;  in  most  cases  it  only  allays  the  pain  for 
awhile,  and  produces  ulcers  in  the  mouth,  the  throat  and  the  stomach  ;  the 
mere  introduction  of  it  into  the  mouth  affects  the  stomach.  For  persons  with 
weak  lungs  it  is  very  injurious. 

When  the  toothache  evidently  depends  on  the  access  of  the  air  or  of  par- 
ticles of  food  into  the  hollow  of  a  decayed  tooth,  the  cavity  should  be  imme- 
diately stopped.  'J'he  best  stu  fifing  for  teeth  is  pure  gold  leaf,  as  used  by  good 
dentists,  but  when  a  good  dentist  cannot  be  readily  obtained,  or  when  the 
tooth  is  too  far  gone  for  such  an  operation,  a  very  good  stuffing  may  be  made 
with  gutta  percha,  as  described  further  on,  under  the  head  of  "  Offensive 
Breath."  Never  allow  your  teeth  to  be  filled  with  preparations  of  "  tin-foil," 
"  pure  silver."  or  such  like  articles  ;  they  contain  often  mercury,  and  are 
always  injurious  to  the  general  health. 

Persons  who  suSer  much  from  toothache  should  abstain  from  the  use  of 
coffee  altogether;  it  is  genei-ally  injurious  to  the  teeth.  When  homoeopathic 
remedies  are  used,  care  should  be  taken  for  a  long  time  to  avoid  everything 
that  would  interfere  with  their  operation. 

It  ought  to  be  observed,  that  one  or  two  globules  taken  on  the  tongue,  if 
it  is  the  proper  remedy,  or,  in  some  cases,  merely  smelling  the  medicine,  will 
give  the  patient  relief.  The  pain  frequently  gets  worse  for  a  short  time  after 
taking  the  medicine,  but  wait  awhile  patiently,  and  if  it  begins  to  abate  take 
nothing  more,  until  there  is  no  longer  any  improvement.  If  it  get  worse 
again,  and  the  symptoms  resemble  the  first,  take  the  same  medicine ;  if  they 
differ,  select  another. 

As  the  torture  from  toothache  is  so  common,  and  embitters  life  so  much, 
and  as  medicines  not  suitably  chosen  will  prove  ineffectual,  we  will  endeavor, 
as  much  as  possible,  to  facilitate  the  selection  of  the  proper  remedy,  by  show- 
ing the  twofold  manner  in  which  it  must  be  found  :  namely,  first,  by  com- 
paring the  syinpioins  with  the  medicines  adapted  to  them,  and  then  by  com- 
paring the  riiedkiiLes  with  their  respective  symptoms. 

In  the  first  place, take  note  of  every  symptom  complained  of  by  the  patient, 
and  note  down  also  the  remedies  which  are  recommended  for  each  ;  then 
examine  the  symptoms  under  those  medicines  which  occur  most  frequently  on 
your  list,  and  see  whether  they  also  correspond  with  the  proper  symptoms  : 
by  these  means  the  proper  remedy  may  generally  be  easily  discovered. 

It  should  be  taken  into  consideration  that  not  all  the  symptoms  mentioned 
under  a  remedy  are  necessarily  to  be  found  in  the  patient,  but  that  all,  or  at 
least  the  greater  part  of  the  symptoms  of  the  patient  must  be  found  under 
the  remedy  selected. 


184  TREATMENT   OF   DISEASES. 

To  explain  this,  we  will  give  the  following  example  : — A  patient  has  violent] 
tearing  cr  drawing  pains  in  diffurent  places,  and  tearing  in  the  g'ums(a);! 
sometinieK  tearing  pain  extending  into  the  head  (/<) ;  cold  air  makes  it  worse  (c) ; 
It  is  mostly  worse  in  the  morning  {d) ;  accompanied  by  determination  of  blood 
to  the  head  (e). 

Among  the  difi'erent  symptoms,  we  find  for — 

</)  P.ims  in  the  giims  :  Mercurius,  Pulsatilla,  Staphisagria,  Hepar,  Arseni- 
cum, Carbo  vegetabilis,  Hyoscyamiis,  Calcarea, 

//)  Which  extend  to  the  head  :  Mercurius,  Staphisagria,  Nux  "omica,  Cha- 
nioinilla   Sulphur,  Arsenicum,  Antimonium  crudum,  Rhus,  Hyoscyamus. 

(■)  Worse  in  cold  air:  Belladonna,  Mercurius,  Staphisagria,  Sulphur, 
Hyoscyamus. 

il)  Worse  in  the  morning:  Ignatia,  Mercurius,  Pulsatilla,  Phosphoric 
acid,  Staphisagria,  Brj'ouia,  Nux  vomica,  China,  Sulphur,  Arsenicum,  Hyos- 
cyamus. 

/-)  Determination  of  blood  to  the  head:  Aconite,  Pulsatilla,  China,  Hyos- 
cyamus, Calcarea. 

After  striking  out  all  the  remedies  that  occur  here  only  once 
or  twHceyou  will  find  that  Pulsatilla,  Staphisagria,  Sulphur, 
Arsenicum,  occur  three  times,  Mercurius,  four  times,  Hyoscy- 
amus, live  times;  now,  examine  the  symptoms  under  Hyoscy- 
amus, and  you  will  find  that  Hyoscyamus  or  Murcurius  answers 
best. 

Most  In  the  Front-teeth. — Belladonna,  Causticum,  Carbo  vegetabilis,  Cha- 

momilla,  China,   Coffea,   Ignatia,   Mercurius,   Natrum  munaiicum, 

Nux  moschatn,  Nux  vomica,  Phosphorus,  Phosphoric  acid,  Rhtis, 

Silicca,  Staphisagria,  Sulphur. 

Most  In  the  Eye  and  Stomach-teeth. — Aconite,  Calcarea,  Hyoscyamus, 

7?/</<.v,  StaphisagTia. 
Most  in  the  Molars  or  Back-teeth  —  Arnica,  Belladonna,  Bri/onia,  Calcarea, 
Carbo  veiieidbilis,  Causticum,  Chamomilla,  China,  Coffea,   Hyoscy- 
amus, Ignatia,  Mercurius,  Nux  moschata,  Nux  vomica,  PJiosphonis, 
Phosphoric  acid,  Pulsatilla,  Rhus,  Silicea,  Staphisayna,  Sulphur. 
Most  In  the  Upper-teeth. — jBe/ZaJo/mt/,  Bryonia,  Calcarea,  Carho  vegetabilis, 

China,  Nuinim  inuriaticvm,  Pho.tj)ho)tis. 
Most  in  the  Lo-wer-teeth. —  Arnica,  Belhtdoium,  Bryonia,  Carbo  vegetabilis, 
Cansticiim.    Chamomilla,  China,  Hyoscyamus,   Ignatia,  Mercurius, 
Nux  vomica,  Phosphorus,  Pulsatilla,  Rhus,  Silicea,  Staphisagi-ia. 
One-sided. — Aconite,  Belladonna,   Chamomilla,   Mercurius,   Nux  vomica^ 

Pulsatilla. 
On  the  Left  side. — Aconite,  Apium  virus,  Arnica,  Carbo  vegetabilis,  Caus- 
ticum,  Chamomilla,  China,  Hyoscyamus,  Mercurius,  Nux  moschata 
Phnaph/yrus;  Rhus.  Silicea,  Sulphur. 
On  the  Right  side. — Belladonna,  Bryonia,  Calcarea,  Coffea,   Lachesis,  Na- 
trum niuriaticum,  Nux  vomica,  Phosphoric  acid,  Staphisagria. 


CHAP.  VII.  AFFECTIONS   OF   THE   TEETH.  185 

A  whole  Row  of  Teeth. — Chamomilla,  Mcrcurius,  Rhus,  Staphisagria. 

In  HollOTv  Teeth. — Aniimonium  crudum,  Belladonna,  Bryonia,  Calcarea, 
Carbo  vegetabilis,  Causticum,  ChamomiUa,  China,  Coffea,  Hepar, 
Hyoscyanius,  LacJiesis,  Mercuriua,  Nux  moschata,  Nux  vomica, 
PhospJioncs,  Phosphoric  acid,  Pulsaiilla,  Rhus,  Silicea,  Staphisagria, 
Sulphur. 

In  the  Gums. — Antimonium  crudum,  Arnica,  Belladonna,  Bryonia,  Calcarea, 
Carbo  vegetabilis,  Chamomilla,  China,  Hepar,  Hyoscyamus,  Lachesis, 
Mcrcurius,  Natnim  viuriatlcum,  Nux  moschata,  Nitx  vomica,  PJios- 
phoi-us,  Phosphoric  acid,  Pulsatilla,  Rhus,  Silicea,  Staphisagria, 
Sulphur. 

Upper. — Belladonna,  Calcarea,  Natrum  muriaticum. 

Lower. — Causticum,  Phosphorus,  Staphisagria,  Sulphur. 

Interior  of. — Arnica,  Natrum  muriaticum,  Phosphoric  acid,  Pulsa^- 

tilla,  Rhus,  Staphisagria. 
Swollen. — Aconite,  Belladonna,  Calcarea,  Chamomilla,  Carbo  vege- 
tabilis, Causticum,  China,  Hepar,  Lachesis,  Nux  vomica,  Natruin 
muriaticum,  Phosphorus,  Pulsatilla,  Rhus,  Sulphur. 


Painful. — Apium  virus,  Arsenicum,  Calcarea,  Carbo  vegetabilis,  Cha- 
momilla, Hepar,  Lachesis,  Hyoscyamus,  Mercurius,  Pulsatilla, 
Silicea,  Staphisagria,  Sulphur. 

■ Bleeding.  —  Belladonna,    Calcarea,   Carbo   vegetabilis,    Causticum, 

Lachesis,  Mercurius,  Nux  moschata,  Nux  vomica,  Ph(>sphorus, 
Staphisagria,  Sulphur. 

w    Ulcerated. — Belladonna.    Calcarea,    Carbo    vegetabilis,    Causticum, 

!  epar,  Lachesis,  Mercurius,  Natrum  muriaticum,  Nux  vomica. 
Phosphorus,  Staphisagria,  Silicea. 

Pressing. — Aconite,  Arnica,  Bryonia,  Carbo  vegetabilis,  Causticum,  China, 
Hyoscyamus,  Ignatia,  Natrum  muriaticum,  Nux  moschata,  Nux 
vomica.  Phosphorus,  Rhus,  Silicea,  Staphisagria,  Sulphur. 

Inwards. — Rhus.  Staphisagria. 

Outward. — Phosphorus. 

—  Asunder. — Phosphoric  acid. 

As  if  from  Congestion  of  the  Blood,  as  if  the  teeth  were  too  close. — 

Aconite,  Arnica,  Belladonna,  Chamomilla,  Calcarea,  China,  Coffea, 
Hepar,  Hyoscyamus,  Nux  vomica,  Pulsatilla. 

As  if  Pulled  out  or  wrenched. —  .\rnica,  Causticum,  Nux  moschata,  Nux 
vomica,  Phosphoric  acid,  Rhus. 

Too  Long. — Arnica,  Arsenicum,  Belladonna,  Bryovia,  Calcarea,  Carbo  vege- 
tabilis, Causticum,  Chamomilla,  Lachesis,  Hyoscyamus,  Natrum 
muriaticum,  Nux  vomica,  Rhus,  Silicea,  Sulphur. 

17* 


186  TREATMENT  OF   DISEASES. 

Looae.— Arnica,  Arsenicum,  Bryonia,  Carbo  vegetabilis,  Causticum,  Chamo. 
milla,  China,  Hepar.  Hyosaianncs,  Ignatia,  Mercurius.  Natrum 
niuriaticum,  Nux  moscbata,  Nax  vomica,  Phosphorus,  Pulsatilla, 
Rhus,  Staphisagria,  Sulphur. 

As  if  too  Loose. — Arsenicum,  Bryonia,  Hyoscyamvs,  Mercurius,  Rhus. 

Bltint. — Aconite,  China,  Dulcamara,  Ignatia,  Lachesis,  Natrum  niuriaticum, 
Mercurius,  Nux  moschaia,  Phosphorus,  Phosphoric  acid,  PuUatUlo., 
Silicca,  Staphisagria,  Sulphur. 

Sore,  Bruised. — Arnica,  Arsenicum,  Belladonna,  Bryonia,  Calcarea,  Carbo 
vegetabilis,  Causticum,  l>/natia,  Natrum,  niuriaticum,  Nux  vomica, 
Phosphorus,  Pulsatilla,  Rhus. 

Burning. — Charnoniilla,  Mercurius,  Natrum  muriaticum,  Nux  vomica.  Phos- 
phorus, Pulsatilla,  Rhus,  Silicea,  Sulphur. 

Gna-wing,  Scraping. — Chaniomilla,  Nux  vomica,  Rhus,  Staphisagria, 

Digging. — Aiitimoniuni  crudum,  Bryonia,  Calcarea,  China,  Ignatia. 

Boring. — Belladonna,  Calcarea,  Lachesis,  Mercurius,  Natrum  muriaticum 
Phosphorus,  Phosphoric  acid,  Nux  vomica,  Silicea,  Sulphir. 

Jerking,  Tvwitoliing. — Apiuin  virus,  Antinionium  crudum,  Arsenicum,  Bry- 
onia, Belladonna,  Calcarea,  Causticum,  Cepa,  Chamomilla,  Cofifea, 
Hepar,  Hyoscyamus,  Lachesis,  Mercurius,  Nux  vomica,  Pulsatilhi, 
Rlnw^,  Sulphur. 

Dravring,  Tearing. — Antinionium  crudum.  Belladonna,  Bryonia,  Carbo  vege- 
tabilis, Calcarea,  Cepa,  Chamomilla,  China,  Glonoine,  Hyoscyamus, 
Lachesis,  Mercurius,  Nux  vomica.  Phosphoric  acid,  Rhus,  Staphis- 
agria. 

Cutting,  Piercing. — Aconite,  Antimonium  crudum.  Belladonna  Bryonia, 
Calcarea  Causticum,  C/tamoinilla,  China,  Lachesis,  Mercurius,  Nux 
vomica,  Nux  moschata.  Phosphorus,  Phosphoric  acid,  Pulsatilla, 
Rhus,  Silicea,  Staphisagria. 

Beating,  Pulsating. — Aconitf,  Arnica,  Arsenicum,  Belladonna,  Calcarea, 
Causticum,  Chamomilla,  China,  Coffea,  Glonoine,  Hyoscyamus,  La^ 
chesis,  Mercurius,  Natram  muriaticum,  Phosphorus,  Pulsatilla, 
Rhus,  Staphisagria,  Sulphur. 

Intermittent. — Belladonna,  Bryonia,  Chamomilla,  Coffea,  Calcarea,  China, 

•Mercurius,  Nux  vomica,  Pulsatilla,  Rhus,  Silicea,    Staphisagria, 

Sulphur. 
Constant,  day  and  nlght.^Belladonna,  Calcarea,  Causticum,  Natrum  mu 

riaticuni,  Silicea,  Sulphur. 
During  the  day  only,  better  in  the  night. — Mercurius. 
1  none  in  the  night. — Calcarea,  Belladonna,  Mercurios 

Nux   vomica. 
,  ■worse  in  bed. — Antinionium  crudum,  Mercurius. 


CHAP.  VII.  AFFECTIONS   OF   THE   TEETH.  187 

Worst  In  the  night. — Aconitum,  Antimouium  crudum,  Arsenicum,  BelJctdon- 
na,  Bryonia,  Carbo  v  egetabilis,  Chamomilla,  China,  CofTea,  Hepar, 
Hyoscyamus,  Mercurius,  Natrum  muriaticum,  Nux  moschata,  Nux 
vomica,  Phosphorus,  Phosphoric  acid,  Pulsatilla,  Rhus,  Silicea, 
Stu-phisagria,  Sulphur. 

By  night  only,  not  during  the  day. — Phosphorus. 

Moat  before  midnight. — Bryonia,  Chamomilla,  China,  Natrum  muriaticum, 
Rhus,  Sulpliur. 

. after .—Arsenicum,  Belladonna,  Bryonia,  Carbo  vegetabilis, 

Chamomilla,  China,  Mercurius,  Natrum  muriaticum,  Pulsatilla, 
Phosphoric  acid,  Khus,  Slaphisayria,  Sulphur. 

When  awaking. — Belladonna,  Carbo  vegetabilis,  Lachesis,  Nux  vomica. — 
(See  Sleep.) 

In  the  morning. — Arsenicum,  Belladonna,  Bryonia,  Causticum,  Carbo  vege- 
tabilis, China,  Hyosci/ajiiiis,  Igaaiiix,  Natrum  muriaticum,  iVMa;?;o?wtca, 
Phosphorus,  Phosphoric  acid,  Pulsatilla,  Rhus,  Staphisagria,  Sulphur. 

At  noon. — Cocculus,  Rhus. 

Afternoon. — Calcarea,  Causticum,  Mercurius,  Nux  vomica.  Phosphorus, 
PalaatUla,  Sulphur. 

Towards  evening. — Pulsatilla. 

At  night. — Antimonium  crudum,  Belladonna,  Bryonia,  Calcarea,  Causticum, 
Hepar,  Uijoscyamus,  Ignatia,  Mercurius,  Nux  moschata,  Nux 
vomica.  Phosphorus,  Pulsatilla,  Rhus,  Staphisagria,  Sulphur. 

Every  other  day. — China,  Natrum  muriaticum. 

Every  seventh  day. — Arsenicum,  Phosphorus,  Sulphur. 

In  Spring. — Aconitum,  Belladonna,  Bryonia,  Calcarea,  Carbo  vegetabilis, 
Dulcamara,  Lachesis,  Natrum  muriaticum,  Nux  vomica,  Pulsatilla, 
Rhus,  Silicea,  Sulphur. 

In  Summer. — Antimonium  crudum,  Belladonna,  Bryonia,  Calcarea,  Carbo 
vegetabilis,  Chamomilla,  Lachesis,  Natrum  muriaticum,  Nux 
vomica,  Pulsatilla. 

Ju  Autumn. — Bryonia,  China,  Mercurius,  Nux  vomica,  Nux  moschata,  Rhus. 

In  Winter. — Aconitum,  Arsenicum,  Belladonna,  Bryonia,  Calcarea,  Carbo 
vegetabilis,  Causticum,  Chamomilla,  Dulcamara,  Hepar,  Hyoscya- 
mus, Ignatia,  Mercurius,  Nux  moschata,  Nux  vomica.  Phosphorus. 
Phosphoric  acid,  Pulsatilla,  Rhus,  Silicea,  Sulphur. 

Caused  by  Damp  night-air. — Nux  moschata. 

Damp  air. — Mercurius. 

Cold,  damp  weather. — Nux  moschata,  Cepa,  Rhus. 

Wind. — Aconitum,  Pulsatilla,  Rhus,  Silicea. 

Draught. — Belladonna,  Calcarea,  China,  Sulphur 


Taking  Cold  — Acomimn,  Belladonna,  Bryoniu,  Calcarea  Causticum,  Cham- 


188  TREATMENT  OF   DISEASES. 

omilla,  China,  Coffca,  Dulcamara,  Ignatia,  Hyoscyamus,  Merctirius, 

Ntix  vonwca,  Niix  moschata,  Phosphorus,  Pulsatilla,  Ehics,  Staphis- 

agria,  Sulphur. 
Taklnfif  Cold,  when  overheated. — Glonoine,  Rhus. 
J  by  getting  wet Belladonna,  Calcarea,  Causticum,    Hepar,   La- 

chesis,  Nux  moschata.  Phosphorus,  Pulsatilla,  Rhus,  Sulphur. 
Suppressed  Perspiration. — Charaomilla,  Rhus. 

Getting  worse  from  Cold  air. — Belladonna,  Calcarea,  Hyoscyamus,  Mer- 
curius,  Nux  moschata,  Nux  vomica,  Silicea,  Staphisagria,  Sulphur. 

in  the  mouth. — Aconitum,  Belladonna,  Bryonia,  Calcarea,  Causticum, 

Hyoscyamus,  Mercurius,  Nux  moschata,  Nux  vomica,  Phosphorus, 
Pulsatilla,  Silicea,  Staphisagria,  Sulphur. 

Opening  of  the  Mouth. — Bryonia,  Chamomilla,  Causticum,  Hepar,  Nux 
vomica,  Phosphorus,  Pulsatilla. 

Breathing. — Pulsatilla. 

Draw^ing  air  into  the  Mouth — Antimonium  crudum,  Belladonna,  Bryonia, 
Calcarea,  Causticum,  Hepar,  Mercurius,  Natrum  muriaticum,  Nux 
moschata.  Phosphorus,  Silicea,  Staphisagria,  Sulphur. 

Cold  washing Antimonium  crudum,  Bryonia,  Calcarea,  Chamomilla,  Met' 

curius,  Nux  moschata,  Nux  vomica,  Pulsatilla,  Rhus,  Silicea,  Sta- 
phisagria, Sulphur. 

Sating  cold  things Bryonia,  Calcarea,  Chamomilla,  Nux  vomica,  Pulsa- 
tilla, Rhus,  Staphisagria,  Sulphur. 

Drinking  cold  things — Bryonia,  Calcarea,  Chamomilla,  Causticum,  Hepar, 
Lachesis,  Mercurius,  Natrum  muriaticum,  Nux  moschata,  Nux 
vomica,  Pulsatilla,  Silicea,  Staphisagria,  Sulphur. 

Rinsing  of  the  Mouth  with  Cold  "Water. — Sulphur. 

Cold  in  general Arsoiicum,  Antimonium  crudum,  Calcarea,  Carbo  vege- 

tabilis,  Mercurius,  Natrum  muriaticum,  Nux  moschata,  Nux  vomica, 
Puhaiilla,  Phosphoric  acid,  Rhus,  Silicea,  Staphisagria,  Sulphur. 

In  the  open  air — Belladonna,  Calcarea,  Causticum,  Chamomilla,  China, 
Hyoscyamus,  Mercurius,  Nux  moschata,  Nux  vomica,  Phosphorus, 
Pulsatilla,  Rhus,  Staphisagria,  Sulphur. 

Staying. — Belladona,  Bryonia,  Chamomilla,  Hyoscyamus,  Mercurius 

Nux  vomica,  Phosphoric  acid,  Staphisagria,  Sulphur. 

"Walking — Nux  vomica,  Phosphorus,  Staphisagria. 

In  a  Room — Apium  virus,  Antimonium  crudum,  Chamomilla,  Hepar,  Nux 
vomica,  Pulsatilla,  Sulphur. 

after  coming  out  of  the  open  air. — Phosphorus. 

In  a  warm  Room — Cepa,  Chamomilla,  Hepar,  Nux  vomica,  Pulsatilla, 
Phosphoric  acid,  Bryonia. 

Warm  Stove. — Arsenicum,  Pulsatilla. 


CHAP.  VII.        AFFECTIONS  OF  THE  TEETH.  189 

External  warmth. — Bryonia,  Chamomilla,  Hepar,  Mercurius,  Nux  mos- 
chata,  Nux  vomica,  Phosphorus,  Phosphoric  acid,  Pulsatilla,  Rhus, 
Staphisagria,  Sulphur. 

Something  warm. — Bryonia,  Calcarea,  Carbo  Yegetabilis,  Chamomilla, 
CofFea,  Lachesis,  Mercurius,  Natrum  muriaticum,  Nux  vomica, 
Phosphoric  acid,  Pulsatilla,  Silicea,  Sulphur, 

Eating  warm  things. — Bryonia,  Calcarea,  Chamomilla,  Nux  vomica.  Phos- 
phorus, Pulsatilla,  Silicea. 

Something  hot — Belladonna,  Calcarea,  Phosphoric  acid. 

Drinking  warm  things. — Bryonia,  Chamomilla,  Lachesis,  Mercurius,  Nux 
moschata,  Nux  vomica,  Pulsatilla,  Rhus,  Silicea. 

Warm  bed — Belladonna,  Bryonia,  Chamomilla,  Mercurius,  Nux  vomica, 
Phosphorus,  Phosphoric  acid,  Piil'^aliUa,  Rhus. 

Getting  warm  in  bed — ChamomiUa,  Mercurius,  Phosphoric  acid,  Phos- 
phorus, Pulsatilla. 

Diinklng.—Chamomilla,  Calcarea,  Oausticum,  Lachesis,  Mercurius,  Pulsa- 
tilla, Rhus,  Silicea. 

Cold  or  warm — Lachesis. 

Water. — Bryonia,  Calcarea,  Carljo  vegetabilis,  Chamomilla,  Mercu- 
rius, Nux  vomica,  Pulsatilla,  Silicea,  Staphisagria,  Sulphur. 

• Wine. — Aconitum,  Iguatia.  [Nux  vomica,  after  wine.~\ 

— Malt  liquors. — Nux  vomica,  Rhus. 

Coffee Belladonna,  Carbo  vegetabilis,  Chamomilla,  Oocculus,  Ig- 

natia,  Mercurius,  Nux  vomica,  Pulsatilla,  Rhus. 
Tea — China,  Coffea,  Ignatia,  Lachesis. 

Smoking  tobacco. — Bryonia,  Chamomilla,  China,  Ignatia,  Mercurius,  Nux 
vomica. 

Salty  things Carbo  vegetabilis. 

Eating. — Antimouium  crudum.  Arnica,  Belladonna,  Bryonia,  Calcarea,  Carho 
vegetabilis,  Oausticum,  Chamomilla,  Cocculus,  Hepar,  Hyoscyamus, 
Lachesis,  Mercurius,  Nux  moschata,  Nux  vomica.  Phosphorus, 
Phosphoric  acid,  Pulsatilla,  Rhus,  Silicea,  Staphisagria,  Sulphur. 

Only  w^hile  Eating — Cocculus. 

After  Eating- Antimonium  crudum.  Belladonna,  Bryonia,  Calcarea,  Cha- 
momilla, China,  Coffea,  Ignatia,  Lachesis,  Mercurius,  Natrum  muri- 
aticum, Nux  vomica,  Rhus,  Staphisagria,  Sulphur. 

Chewing Arnica,    Arsenicum,   Belladonna,  Bryonia,   Carbo   vegetabilis^ 

Causticum,  China,  Cocculus,  Coffea,  Eyosnjanms,  Ignatia,  Mercurius, 
Natrum  7nuriaticum,  Nux  vomica.  Phosphorus,  Phosphoric  acid, 
Pulsatilla,  Silicea,  Staphisagria,  Sulphur. 

Only  while  chewing — China. 

Swallowing. — S  taphisagria. 


190  TREATMENT   OF   DISEASES. 

Biting  — Arsenicum,  Belladonna,  Bryonia,  Calcarea,  Carbo  vegetabilis,  Cans- 
ticum,  China,  Coffea,  Hepar,  Hyoscyamus,  Lachesis,  Mercurius,  Nux 
vomica.  Phosphorus,  Phosphoric  acid,  Pulsatilla,  Rhtis,  Silicea, 
Staphisagria,  Sulphur. 

something  soft. — Veratrum. 

. soft  food  — Cocculus. 

hard  food. — Mercurius. 

Touched  by  the  food. — Belladonna,  Ignatia,  Nux  vomica,  Phosphoma, 
Staphisagria. 

Picking. — Pulsatilla. 

Cleaning. — Carbo  vegctabilis,  Lachesis,  Phosphoric  acid,  Staphisagria. 

Touching  — Antimonium  crudum,  Arnica,  Arsenicum,  Belladonna,  Bryonia,^ 
Calcarea,  Carbo  vegetabilis,  Causticura,  China,  Coffea,  Hepar,  Igna- 
tia, Mercurius,  Natrum  rauriaticum,  Nux  moschata,  Nux  vomica, 
Phosphorus,  Pulsatilla,  Rhus,  Sulphiir,  Staphisagria. 

with  the  tongue. — Carbo  vegetabilis,  China,  Ignatia,   Mercurius, 

Phosphorus,  Rhus. 

even  very  softly. — Belladonna,  Ignatia,  Nux  vomica,  Staphisagria. 

Pressing  on  the  Teeth. — Causticum,  China,  Hyoscyamus,  Natrum  muriati- 
cum,  Staphisagria,  Sulphur. 

Sucking  the  Gums  — Belladonna,  Carbo  vegetabilis,  Nux  moschata,  Nux 
vomica,  Silicea. 

Rinsing. — Ignatia,  Mercurius,  Platinum. 

Movljig  the  body. — Arnica,  Blladonna,  Brgonia,  China,  Mercurius,  Nux 
vomica,  Phosphorus,  Staphisagria. 

— the  mouth. — Causticum,  Chamomilla,  Mercurius,  Nux  vomica. 

Talking. — Nux  moschata. 

Deep  breathing. — Nux  vomica. 

Being  at  rest — Arsenicum,  Bryonia,  Chamomilla,  Pulsatilla,  Rhus,  Sta- 
phisagria, Sulphur. 

Sitting.  —  Antimonium  crudum,  Mercurius,  Pulsatilla,  Rhtts. 

too  much. — Aconitum. 

"While  lying  down. — Arsenicum,  Belladonna,  Bryonia,  Chamomilla,  Hyos- 
cyamus,  Ignatia,  Mercurius,  Nux  vomica,  Phosphorus,  Pulsatilla, 
h'hns,  Staphisagria,  Sulphur. 

on  the  painful  side. — Arsenicum,  Nux  vomica. 

on  the  painless  side. — Bryonia,  Chamomilla,  Ignatia,  Pulsatilla. 

in  bed. — Bryonia,  Chamomilla,  Nux  vomica,  Pulsatilla. 

In  bed  — Antimonium  crudum,  Belladonna,  Bryonia,  Chamomilla,  Mercurius, 
Nux  vomica,  Phosphorus,  Pulsatilla. 

Sleep  with  yawning. — Staphisagria. 

"When  going  to  sleep. — Antinionum  crudum,  Arsenicum,  Mercurius,  Sul- 
phur. 

While  asleep. — Mercurius. 


CHAP.  VII.  AFFECTIONS   OF  THE   TEETH.  191 

When  awaking — Belladonna,  Bryonia,  Calcarea,  Carbo  vegetabilis,  L»- 
chesis,  Nux  vomica,  Phosphorus,  Silicea,  Sulphur. 

Mental  emotions  — Aconitum. 

An   er. — Aconitum,  Chamomilla,  Rhus,  Staphisagria. 

Passion. — Nux  vomica. 

Mental  exertions  — Belladonna,  Ignatia,  Nux  vomica. 

Reading' — Ignatia,  Nux  vomica. 

Noise  — Calcarea. 

Being-  talked  to  by  others. — Arsenicum,  Bryonia. 

For  Women — Aconitum,  Apium  virus.  Belladonna,  Calcarea,  Chamomilla, 
China,  CoSea,  Hyoscyamus,  Ignatia,  Nux  raoschata,  Pulsatilla. 

Menstruation,  before  — Arsenicum. 

during. — Calcarea,  Chamomilla,  Carbo  vegetabilis,  Natrum  muriati- 

cum.  Lachesis,  Phosphorus. 

after. — Calcarea,  Carbo  vegetabilis,  Chamomilla,  Phosphorus. 

During  Pregnancy. — Apium  virus.  Belladonna,  Bryonia,  Calcarea,  Hyos- 
cyamus, Mercurius,  Nux  raoschata,  Nux  vomica,  Pulsatilla,  Rhus, 
Staphisagria. 

While  nursing  — Aconitum,  Arsenicum,  Belladonna,  Calcarea,  China,  Dulca- 
mara, Mercurius,  Nux  vomica,  Phosphorus,  Staphisagria,  Sulphur. 

For  children — Aconitum,  Antimonium  crudum.  Belladonna.  Calcarea,  Cha- 
momilla,  Coffea,  Ignatia,  Pulsatilla,  Mercurius,  Silicea. 

For'  irritable,  nervous  persons— Aconitum,  Belladonna,  Chamomilla,  Cof- 
fea, China,  Hyoscyamus,  Nux  moschata. 

For  persons  who  have  taken  much  mercury. — Carbo  vegetabilis,  Bellas 
donna,  Hepar,  Lachesis,  Staphisagria, 

•who  drink  much  coffee. — Belladonna,  Carbo  vegetabilis,  Chamo- 
milla, Cocculus,  Mercurius,  Nux  vomica,  Pulsatilla,  Rhus. 

Getting  better  from : 

Cold  air. — Nux  vomica,  Pulsatilla. 

Wind  — Calcarea. 

Uncovering. — Pahatilla. 

Drawing  air  into  the  mouth. — Nux  vomica,  Pulsatilla. 

Cold  washing,— Belladonna,  Bryonia,  Chamomilla,  Pulsatilla, 

External  Cold.— Belladonna,  Bryonia,  Chamomilla,  China,  Mercurius,  Nux 

vomica.  Phosphorus,  Pulsatilla,  Staphisagria,  Sulphur, 
Cold  hand. — Rhus, 

Finger  wet  with  cold  -water — Chamomilla. 
Holding  cold  water  in  the  mouth. — Bryonia,  Cepa. 
Cold  drinking. — Belladonna,  Bryonia,  Chamomilla,  Mercurius,  Nux  vomica. 

Phosphorus,  Pulsatilla,  Rhus,  Sulphur. 
In  the  open  air — Antimonium  crudum,  Bryonia,  Cepa,  ^e^p^t,  Pulsatilla,- 

Nux  vomica. 


192  TREATMENT   OF   DISEASES. 

In  the  room. — Nux  vomica,  Phosphorus,  Sulphur. 

External  "Warmth. — Arsenicum,  Belladonna,  Calcarea*,  Chamomilla,  China, 

Hyosc^-amus,  Lachesis,  Mercurius,   Nux  moschata,  Nux  vomica, 

Pulsatilla,  Rhus,  Staphisarjria,  Sulphur. 
Wrapping  up  the  head. — Nux  vomica.  Phosphorus,  Silicea 
Eating  something   v^arm — Arsenicum,   Bryonia,    Nux    moschata,   Nux 

vomica,  Rhus,  Sulphur. 

Drinking  . — Nux  moschata,  Nux  vomica,  Rhus,  Sulphur,  Pulsatilla. 

Getting  warm  in  bed. — Bryonia,  Nux  vomica. 

Drinking — Belladonna. 

Smoking  Tobacco. — Mercurius. 

"When  eating. — Belladonna,  Bryonia,  Chamomilla,  Phosphoric  acid,  Silicea. 

After . — Arnica,  Calcarea,  Chamomilla,  Phosphoric  acid,  Rhus,  Silicea. 

When  chewing. — Bryonia,  China,  Coifea. 
Biting. — Arsenicum,  Bryonia,  China,  Coffea. 
Picking  the  teeth,  so  that  they  bleed. — Belladonna. 
Picking  the  teeth. — Phosphoric  acid. 

Rubbing  . — Mercurius,  Phosphorus. 

Touching  the  teeth. — Bryonia,  Nux  vomica. 

Sucking  the  gums  — Causticum. 

Pressing  upon  the  teeth. — Belladonna,  China,  Bryonia,   Ignatia,  Natrum 

rauriaticum,  Pulsatilla,  Phosphorus,  Rhus. 
Moving  — Ptdsaiilla,  Rhus. 
When  walking  — Pulsatilla,  Rhus. 
When  at  rest. — Bryonia,  Nux  vomica,  Staphisagria. 
Sitting  up  in  bed. — Arsenicum,  Mercurius,  Rhus. 
Getting  up  — Phosphorus,  Nux  vomica. 
WTien  lying  down. — Bryonia,  Mercurius,  Nux  vomica, 

on  the  painful  side. — Bryonia,  Ignatia,  Pulsatilla. 

. painless Nux  vomica. 

lying  down  in  bed. — Mercurius,  Pulsatilla. 

In  bed. — Sulphur. 

When  going  to  sleep  — Mercurius. 

After  sleep  — Nux  vomica,  Pulsatilla. 

The  Pains  extend 

to  the  javrbones  and  face. — Lachesis,  Mercurius,  Nux  vomica, 
Hyoscyamus,  Rhus,  Sulphur, 

to  the  cheeks. — Chamomilla,  Causticum,  Bryonia,  Mercurius,  Silicea, 
Staphisagria,  Sulphur. 

into  the  ears  — Arsenicum,  Bryonia,  Calcarea,  Chamomilla,  Hepar, 
Lachesis,  Mercurius,  Staphisagria,  Sulphur. 

into  the  eyes  — Causticum,  Chamomilla,  Mercurius,  Pulsatilla,  Sta- 
phisagria, Sulphur. 


CHAl".  VII.  AFFECTIONS   OF   THE   TEETH.  193 

The  pains  extend  into  the  head  — Antimonium  crudum,  Arsenicum, 
Chamomilla,  Hyoscyamus,  Mercarius,  Nux  vomica,  Rhus,  Sta- 
phisagria,  Sulphur. 

With  headache. — Apium  virus,  Glonoine,  Lachesis. 

rush  of  blood  to  the  head  — Aconitum,  Calcarea,    China,    Hyosey 

amus,  Lachesis,  Pulsatilla. 

swollen  veins  of  the  forehead  and  hands. — China. 

heat  in  the  head  — Aconitum,  Hyoscyamus,  Pulsatilla. 

burning^  of  the  eyes  — Belladonna. 

flushed  cheeks. — Aconitum,  Arnica,  Belladonna,  Chamomilla,  Mer 

curius,  Nux  moschata,  Nux  vomica,  Phosphorus,  Pulsatilla,  Rhua. 
Sulphur. 

paleface — Aconitum,  Arsenicum,  Ignatia,  Pulsatilla,  Staphisagria 

Sulphur. 

swellingr  of  the  cheek. — Arnica,  Arsenicum,  Belladonna,  Bryonia, 

Chamomilla,  Lachesis,  MerciiriuSjlA&iTnra  muriaticum,  Nux  vomica, 
Pulsatilla.  Phosphorus,  Phosphoric  acid,  Staphisagria,  Sulphur. 

salivation  — Belladonna,  Dulcamara,  Mercurius. 

dry  mouth  and  thirst. — China. 

without  thirst. — Pulsatilla. 

dry  throat  and  thirst  — Belladonna. 

chilliness. — Pulsatilla,  Rhus, 

heat  — Hyoscyamus,  Rhus. 

— ; warm  perspiration. — Hyoscyamus. 

chilliness,  heat,  thirst  — Lachesis. 

diarrhoea  — Chamomilla,  Coffea,  Dulcamara,  Rhus. 

constipation  — Bryonia,  Mercurius,  Nux  vomica,  Mercurius,  Sta- 
phisagria. 

Note. — You  must  not  be  surprised  to  find  in  the  above  list,  the  same  remediej 
recommended  for  directly  opposite  symptoms,  as,  Arsenicum,  for  toothache,  worse, 
and  better  from  warmth;  this  is  really  often  the  case. 

The  following  medicines  with  their  symptoms  are  arranged  according  to  their 
importance,  in  order  to  facilitate  the  finding  of  any  particular  medicine,  this  alpha^ 
betical  index  is  given  : 

Aconitum, 3     Cepa 18     Mercurius, 13 

Antimonium  crudum 20     Chamomilla, 5     Nux  moschata, 6 

Apium  virus, 26     China, 12     Nux  vomica, 7 

Arnica, 1     Coffea 2     Phosphorus,  17 

Arsenicum 19     Dulcamara, 28     Phosphoric  acid, 25 

Belladonna, 11     Glonoine, 4     Pulsatilla, 8 

Bryonia, 21     Hepar 14     Khus 22 

Calcarea, 29     Hyoscyamus, 10     Silicen, 27 

Carbo  vegetabilis, 15     Ignatia 9     Staphisagria, ..  23 

Causticum, 30     Lachesis, 24     Sulphur, 19 

0  18 


194  TREATMENT   OF   DISEASES. 

1.  Arnica  is  very  useful  after  the  extraction  of  a  tooth  ;  it  will 
stop  the  bleeding  and  accelerate  the  healing  of  the  gums.  Five 
drops  of  the  tincture  should  be  mixed  with  half  a  tumblerful  of 
cold  or  tepid  water,  and  the  mouth  rinsed  several  times  with 
this.  After  the  insertion  of  artificial  teeth,  it  relieves  the  pain 
and  the  swelling;  after  filing  out  carious  teeth — which  is  some- 
times a  very  useful  operation — mix  a  few  globules  of  it  in  a  tea- 
spoonful  of  water,  and  put  some  of  it  on  the  parts  which  have 
been  filed.  In  very  intense  pain,  occurring  after  a  tooth  has 
been  drawn,  sometimes  Hyoscyamus  is  of  use;  when  the  pain  is 
severe  after  putting  in  new  teeth, give  Arnica  and  Aconitum  alter- 
nately. Arnica  is  sometimes  good  for  toothache,  when  attended 
by  throbbing,  as  if  the  blood  were  being  forced  out  of  the  tooth, 
or  as  if  it  had  been  started  from  its  socket — worse  when  touched; 
it  is  also  frequently  of  service  for  hard  swelling  of  the  cheeks, 
wliich  frequently  remains  after  the  toothache  has  been  cured. 

2.  Goffea  will  remove  the  severest  pains,  which  drive  the  pa- 
tients almost  frantic;  when  they  cry,  tremble,  and  do  not  know 
what  to  do  ;  and  when  the  pain  is  indescribable ;  it  may  be 
repeated  once  or  twice.  If  it  proves  inefficacious,  give  Aconitum^ 
Veratrnm,  Sulphur  or  Hyoscyamus.  For  stinging,  jerking  pain, 
or  intermitting  aching  and  pain  when  chewing,  it  is  to  be  pre- 
ferred to  all  other  remedies. 

8.  Aconitum  must  be  given  in  all  those  cases  where  the  patients 
are  almost  frantic  with  pain,  which  is  indescribable,  and  which 
Goffea  has  failed  to  relieve;  also  for  throbbing  pains,  occasioned 
by  taking  cold,  with  determination  of  blood  to  the  head:  burn- 
ing in  the  face;  it  is  particularly  suitable  for  children;  it  may 
be  repeated  several  times;  when  it  is  no  longer  efficacious,  give 
Chamomilla  or  Belladonna. 

4.  Glonoine  for  toothache  from  taking  cold,  after  having  been 
over-heated,  if  the  beating  of  the  pulse  is  felt  in  all  the  teeth,  or 
a  drawing  in  all  the  teeth,  sometimes  in  the  upper  and  some- 
times in  the  lower  ones,  and  if  the  blood  rushes  to  the  head, 
with  headache. 

5.  Ghamomilla  is  beneficial  in  many  kinds  of  toothache,  par- 


CHAP.  VII.  AFFECTIONS   OF   THE   TEETH.  195 

ticularlj  in  children — and  in  persons  who  are  frequently  vexed, 
and  who  drink  much  coffee — also  in  females  before  menstrua- 
tion ;  pain  in  the  hoUow  teeth,  after  taking  cold  when  in  a  per 
spiration,  or  when  the  patient  is  very  irritable  and  inclined  to 
cry ;  when  the  pain  is  insupportable,  and  aggravated  periodi- 
cally; is  worse  during  the  night;  when  no  particular  tooth  can 
be  pointed  out  as  the  painful  one;  or  when  the  tooth  is  hollow, 
feels  as  if  too  long,  and  seems  to  move,  (for  the  last  symptom, 
perhaps,  Bryonia  will  suit  better,)  or  when  the  pain  extends 
through  the  whole  set,  and  every  tooth  feels  too  long ;  also  when 
it  extends  through  the  jaws  to  the  ear ;  or  through  the  temples 
to  the  eyes ;  or  is  mostly  on  one  side,  in  the  teeth,  jaws,  ears 
and  head ;  when  there  is  orawling,  sluggish  pain  continually,  or 
scraping  and  scratching  of  the  hollow  tooth,  after  which  the  pain 
increases;  drawing  and  tearing,  or  boring  and  throbbing  pain  ; 
when  at  its  height,  the  pain  is  stinging  and  jerking,  and  extends 
to  the  ear;  the  patient  cannot  bear  the  warmth  of  the  bed,  and 
the  pain  generally  commences  soon  after  meals,  particularly 
after  eating  or  drinking  anything  warm;  when  it  grows  much 
worse  after  drinking  cold  water — also  after  coffee ;  cannot  be 
relieved  by  anything  but  dipping  a  finger  into  cold  water  and 
applying  it  to  the  tooth;  when,  while  the  pain  lasts,  the  cheek 
is  red  and  hot,  or  the  cheek  and  gums  are  swollen  and  of  a  light 
red  color ;  when  the  glands  under  the  chin  are  painful  and  swol- 
len— if  the  toothache  is  accompanied  with  great  weakness,  par- 
ticularly in  the  joints;  pain  in  the  articulation  of  the  jaw  on 
opening  the  mouth,  extending  to  the  teeth — Chamomilla  is  a 
certain  cure.  When  it  is  partly  adapted  to  the  symptoms,  and 
only  gives  partial  relief,  and  the  teeth  are  hollow,  compare  Ayiti- 
monium  crudum,  and  then  the  following: 

6.  Nux  moschata  suits  children,  women — particularly  during 
pregnancy — and  all  people  with  a  cool,  dry  skin,  who  do  not 
easily  perspire;  for  pains  from  taking  cold  in  damp,  cold  wea- 
■  ther,  or  from  the  night  air ;  for  pains  which  get  worse  if  air,  par- 
ticularly cold,  damp  air,  is  drawn  into  the  mouth ;  if  warm 
water  or  warm  applications  ease  the  pain ;  for  toothache  which 


196  TKEATMENT  OF   DISEASES. 

is  increased  by  the  shaking  of  the  body  in  going  up  or  down 
stairs ;  if  the  pain  commences  on  the  right  side  and  goes  to  the 
left ;  for  pains  as  if  a  tooth  was  wrenched  out ;  worse  from  much 
talking ;  if  the  teeth  become  easily  blunt. 

7.  Nux  vomica  is  useful  for  toothache  in  persons  of  a  hasty 
temper,  with  ruddy  complexion,  who  like  coffee  and  ardent 
spirits — have  little  out-door  exercise,  or  who  have  taken  cold ; 
when  a  healthy  tooth  is  painful  and  feels  loose,  or  the  teeth  seem 
too  long,  with  jerking,  shooting  pains  in  the  lower  jaw;  a  draw- 
ing pain  extending  to  the  temple,  or  a  pain  from  a  hollow  tooth, 
affecting  the  whole  face  and  even  the  bones,  or  extending  over 
the  whole  side;  or  for  drawing  and  burning  pains  in  the 
nerves  of  a  tooth,  as  if  it  were  wrenched  out,  accompanied  by 
violent  stitches,  which  affect  the  whole  body,  particularly  on 
inspiration ;  when  a  dull  pain  in  the  bones  changes  to  a  tearing 
pain,  which  passes  through  the  teeth  and  jaws,  or  there  is  a 
boring,  gnawing,  tearing  pain  on  one  side;  sometimes  for  jerk- 
ing or  rheumatic  pains,  attended  with  a  pricking  sensation  ;  when 
they  chiefly  commence  in  bed  or  in  the  evening,  prevent  chew- 
ing, grow  worse  or  return  as  soon  as  the  mouth  is  opened  in  the 
cold  air;  or  when  reading  or. thinking;  or  when  the  tearing 
pains  become  worse  by  the  contact  of  cold  liquids,  but  better 
when  kept  warm  ;  in  general  the  pains  are  worse  after  eating 
and  exercise ;  also,  when  along  with  the  tearing  pains  the  glands 
beneath  the  lower  jaw  are  painful,  and  particularly  when  a  swel- 
ling ajipears  on  the  gum,  which  seems  about  to  burst. 

8,  Pulsatilla  is  most  suitable  for  persons  of  a  mild,  quiet, 
timid  disposition,  or  for  women  and  children  of  a  fretful  tem- 
per; when  the  pain  is  only  on  one  side;  for  toothache  which  is 
prevalent  in  the  spring,  accompanied  by  ear-ache  and  headache, 
confined  chiefly  to  one  side;  when  there  is  a  stinging  pain  in 
the  decayed  tooth,  accompanied  by  great  sensitiveness  of  the  left 
side  of  the  face,  extending  to  the  ear,  with  heat  in  the  head  and 
chills  over  the  whole  body ;  but  particularly  when  there  is  a 
gnawing  pain  in  the  gums,  and  pricking  as  of  pins,  with  tearing 
and  jerking  in  the  tooth  itself,  as  if  tho  nerve  were  stretched 


CHAP.  VII.  AFFECTIONS   OF   THE   TEETH.  197 

and  then  suddenly  relaxed ;  or  for  jerking  or  tearing  in  the  tooth 
as  if  it  would  start  from  the  jaw,  and  aggravated  by  cold  water, 
the  heat  of  the  bed,  a  warm  room,  or  by  taking  anything  warm 
into  the  mouth  ;  cold  air  relieves  it — the  toothache  always  ceases 
entirely  in  the  open  air,  hut  returns  in  the  warm  room  and  gets  worse; 
worse  when  sitting,  better  when  walking  about — worse  from 
picking  the  teeth,  better  from  pressure — chewing  does  not  make 
it  worse  ;  it  comes  on  mostly  toward  evening,  rarely  before,  and 
is  accompanied  by  chilliness  and  pale  face,  or  with  congestion 
of  blood  to  the  head  ;  or  with  heat  without  thirst ;  especially  for 
toothache  caused  by  drinking  chamomile  tea. 

9.  Ignatia  will  be  serviceable  in  cases  where  the  foregoing 
remedies  appear  to  be  indicated,  but  are  insufficient,  and  the 
patient  is  of  a  more  tender  and  sensitive  disposition,  sometimes 
cheerful,  at  other  times  inclined  to  tears ;  particularly  for  per- 
sons who  grieve  much  ;  when  the  jaw-teeth  feel  as  if  crushed  ; 
when  there  is  a  boring  pain  in  the  front  teeth,  and  a  soreness  in 
all  the  teeth ;  worse  after  drinking  coffee,  after  smoking,  after 
dinner,  in  the  evening,  after  lying  down,  and  in  the  morning  on 
awaking. 

10.  Hyoscyamus  in  vqtj  sensitive,  nervous,  excitable  persons; 
the  pain  almost  drives  the  patient  mad — it  is  a  tearing  or  throb- 
bing, extending  to  the  cheeks  and  along  the  lower  jaw ;  or  there 
is  a  tearing,  raging  pain  in  the  gums,  with  a  buzzing  sensation 
in  the  tooth,  which  is  loose,  and  feels,  when  chewing,  as  if  it 
were  coming  out ;  or  jerking,  throbbing,  drawing,  tearing,  which 
extends  to  the  forehead  ;  violent  tearing  pains  in  different  teeth, 
as  if  the  blood  was  pressed  into  them,  occasionally  accompanied 
by  flushes  of  heat,  with  determination  of  blood  to  the  head ;  it 
is  aggravated  by  cold  air ;  generally  comes  on  in  the  morning, 
and  is  sometimes  accompanied  by  jerking  in  the  fingers  and 
arms,  especially  in  persons  who  are  subject  to  convulsions. 

11.  Belladonna  is  frequently  best  adapted  to  females  or  chil- 
dren, particularly  when  the  pain  and  anguish  cause  great  rest- 
lessness, running  about,  or  where  there  is  depression,  and  a 
disposition  to  cry ;  when  the  teeth  and  gums  are  painfully  sen- 

18* 


198  TREATMENT   OF   DISEASES. 

silive;  when  biting  produces  a  feeling  as  if  there  were  ulcers  at 
the  roots,  with  stinging,  cutting,  jerking,  tearing  pain;  and 
more  especially  for  a  drawing  pain,  which  is  worse  after  going 
to  bed,  and  during  the  night;  or  for  pricking  pains  in  a  hollow 
tooth,  day  and  night;  or  a  pain  in  a  hollow  jaw-tooth,  as  if  too 
much  blood  were  forced  into  it,  with  heat  in  the  gums  and 
throbbing  in  the  cheeks — nothing  mitigates  the  pain  but  pick- 
ing the  gum  until  it  bleeds ;  or  the  gums  are  swelled,  with  burn- 
ing and  stinging  pains,  discharge  of  much  saliva,  the  cheek 
swelled,  sometimes  the  eyes  hot  and  the  throat  dry,  with  great 
thirst — frequently  the  pain  returns  in  the  morning  on  awaking, 
or  recommences  some  time  after  dinner ;  the  teeih  ache  when 
exposed  to  the  open  air,  when  touched,  from  biting,  when  food 
or  hot  liquids  come  in  contact  with  them — pressing  hard  upon 
the  cheeks  sometimes  gives  relief. 

12.  China  is  particularly  suited  for  toothache  in  mothers  who 
are  nursing — for  persons  who,  otherwise  cheerful,  become  cross 
and  irritable ;  if  a  black  covering  appears  on  the  teeth  ;  the 
pain  comes  on  periodically,  and  is  throbbing,  tearing,  jerking  or 
drawing,  with  great  pressure,  as  if  the  blood  was  forced  into  the 
teeth,  or  boring  and  numbness  about  the  teeth — worse  when  in 
motion,  when  touched,  and  returns  on  exposure  to  a  draught — 
the  gums  swell,  the  mouth  is  dry,  there  is  thirst,  the  blood  rises 
to  the  head,  veins  of  the  forehead  and  hands  swell,  and  the  sleep 
during  the  night  is  uneasy,  although  the  pain  is  not  so  great. 

13.  Mercurius  is  frequently  suitable  for  children  ;  in  general 
when  there  are  tearing  pains  in  several  teeth  at  once,  in  hollow 
ones  and  those  adjoining  them — the  pain  affects  the  whole  side 
of  the  face,  or  drawing  and  stinging  pains  extend  to  the  ear ;  it  is 
particularly  troublesome  during  the  night;  or  for  excruciating 
jumping  pains  in  the  teeth,  especially  at  night,  with  stitches  ex- 
tending to  the  ear  and  the  head,  and  drive  the  patient  out  of  bed  ; 
also  for  a  stinging  pain  in  a  decayed  tooth,  which  is  worse  after 
eating  or  drinking  any  thing  cold  or  warm  ;  the  pain  is  generally 
increased  by  cold,  and  particularly  by  damp  air,  is  less  severe 
when  in  a  warm  place,  or  when  the  cheek  is  rubbed — the  air  is 


CHAP.  VII.  AFFECTIONS   OF   THE   TEETH.  199 

sometimes  painful  to  the  front  teeth  ;  or  the  toothache  is  only 
felt  during  the  day  and  ceases  during  the  night,  and  is  followed 
by  perspiration,  and  in  the  morning  the  same  pains  return 
again,  in  paroxysms,  with  longer  or  shorter  intervals,  alternat- 
ing with  giddiness,  or  tearing  in  the  limbs  ;  the  teeth  are  almost 
always  loosened,  the  gums  swell  or  become  white  and  ulcerated, 
are  detached  from  the  teeth,  burn  and  ache  when  touched  ;  or 
they  begin  to  itch,  to  bleed  and  to  suppurate,  with  tearing 
through  the  roots  of  the  teeth,  or  with  painful  swelling  of  the 
cheeks. 

14.  Hepar  will  be  beneficial  after  Mercurius  or  Belladonna^ 
when  the  painful  swelling  of  the  gums  continues,  or  for  a  throb- 
bing pain  as  if  blood  were  entering  the  tooth,  or  a  drawing  pain; 
the  pains  worse  after  eating,  and  in  a  warm  room,  or  at  night. 

15.  Garho  vegetabilis  is  sometimes  useful  when  Mercurius  or 
Arsenicum  gives  some  relief,  without  effecting  a  perfect  cure; 
also  in  persons  who  have  taken  much  calomel,  particularly  when 
the  gums  bleed,  and  are  detached  from  the  teeth  ;  the  teeth  are 
loosened,  become  ulcerated,  and  ache  when  touched  by  the 
tongue;  are  worse  after  eating,  with  drawing  and  tearing  paina 
in  the  incisors. 

16.  Sulphur  is  most  suitable  for  jumping  pain  in  hollow  teeth 
— extending  to  the  upper  and  lower  jaw,  or  to  the  ear;  for 
swelling  of  the  gums,  attended  with  thr<jbbing  pain,  bleeding 
of  the  gums,  and  swellings  around  old  stumps;  for  toothache 
in  the  evening,  or  in  the  air,  from  draught,  worse  when  rinsing 
the  mouth  with  cold  water. 

17.  Phosphorus  for  toothache  from  washing  or  from  having 
had  the  hands  in  cold  or  warm  water. 

18.  Cepa  for  toothache  with  cold  in  the  head,  or  which  gets 
better  wlien  the  catarrh  becomes  worse  and  whicli  gets  worse 
when  the  catarrh  becomes  better ;  from  damp,  cold  weather  and 
wind ;  if  it  commences  on  the  left  side  and  goes  to  the  right 
side;  worse  in  the  warm  room;  if  it  is  a  throbbing,  drawing, 
pressing,  with  swelling  of  the  cheek;  worse  when  chewing; 
better  from  cold  water ;  if  the  teeth  become  yellow ;  for  people 


200  TREATMENT   OF   DISEASES. 

who  have  an  offensive  breath ,  or  who  are  fond  of  being  in  the 
open  air  and  who  like  to  wash  themselves. 

19.  Arsenicum  when  the  teeth  are  loose  and  elongated,  with 
constant  jerking  or  burning,  and  tearing  in  the  gum,  worse 
wlien  touched,  when  lying  on  the  aflfected  side,  and  when  at  rest, 
and  also  from  cold ;  the  pains  are  mitigated  by  the  heat  of  the 
stove,  by  hot  applications,  or  by  sitting  up  in  bed  ;  it  is  particu- 
larly indicated  when  the  pains  are  very  debilitating. 

20.  Aniimonium  crudum  is  the  principal  remedy  for  pains  in 
hollow  teeth,  of  a  boring,  digging,  tearing,  jerking  character, 
which  sometimes  penetrate  into  the  head  ;  the  pains  are  aggra- 
vated in  the  evening  in  bed,  after  eating,  by  cold  water;  and 
better  when  walking  in  the  open  air. 

21.  Bryonia  for  passionate,  irritable,  cross,  obstinate  people ; 
the  pain  occasionally  in  the  hollow  teeth,  but  more  frequently 
in  the  healthy  ones ;  shooting  pains  with  twitches  towards  the 
ear;  tearing  pain  extending  to  the  cheek,  and  acute  pains,  as  if 
caused  by  an  exposed  nerve;  sensitiveness  and  pain  in  the  de- 
cayed teeth  from  contact  with  the  air;  the  teeth  feel  as  if  too 
long  and  too  loose,  but  are  not  so,  and  when  chewing  they  feel 
as  if  they  would  fall  out.  The  pains  are  aggravated  by  smoking 
or  chewing  tobacco;  from  the  introduction  of  any  thing  warm 
into  the  mouth — better  in  the  open  air — sometimes  relieved  by 
cold  water,  but  only  momentarily,  and  also  when  lying  on  the 
affected  cheek,  but  worse  when  lying  on  the  other.  Likewise, 
when  the  pain  shoots  from  one  tooth  into  the  other,  and  also 
into  the  head  and  cheeks. 

22.  Bhus  for  the  same  painful  sensation  of  elongation  of  the 
teeth,  as  Bryonia,  and  also  when  they  seem  to  be  loose,  or  as  if 
they  w^ere  asleep  [China,  Dulcamara) ;  the  hollow  teeth  sensitive 
to  the  air ;  the  gums  are  swollen,  burn,  and  itch  like  an  ulcer,  or 
they  are  sore  and  detached  from  the  teeth;  for  jumping,  shoot- 
ing, or  drawing  pain,  as  if  the  teeth  were  being  torn  out,  (Pulsa^ 
tilla)  or  pressed  into  their  sockets  [Staphisagria)  or  for  slow 
pricking  or  throbbing  tearing  in  all  the  teeth,  extending  into 
the  jaws  and  temporal  bones,  with  a  painful  soreness  of  one  side 


CHAP.  Vir.  AFFECTIONS   OF   THE   TEETH.  201 

of  the  face,  if  it  arises  from  taking  cold,  or  from  vexation,  is 
worse  in  the  air,  {Bryonia  toothache  is  better),  insufferable  dur- 
ing the  night,  and  mitigated  by  heat ;  sometimes  accompanied 
by  an  offensive  smell  from  the  carious  teeth.  It  suits  best  for 
quiet  persons  (unlike  Bryonia)  who  are  disposed  to  sadness 
and  melancholy,  or  become  agitated  and  afraid,  (similar  to 
Belladonna). 

23.  Stiqjhisag^ia,  when  the  teeth  become  black  and  hollow, 
lose  the  enamel,  the  gums  are  pale,  white,  ulcerated  and  swollen — 
ache  when  touched;  throbbing  in  the  gums;  the  gums  are 
covered  with  blisters  and  ulcers ;  also  for  intense  gnawing,  draw- 
ing or  tearing  pains  in  decayed  teeth,  particularly  in  the  roots, 
or  extending  through  a  whole  row,  or  the  pain  shoots  from  a 
hollow  tooth  to  the  ear,  with  throbbing  in  the  temple — worse 
in  the  open  air,  when  drinking  any  thing  cold,  from  eating,  and 
particularly  during  the  night  or  toward  morning. 

24.  Lachesis,  if  all  hollow  teeth  pain  from  rush  of  the  blood 
to  the  head ;  for  drawing,  tearing,  throbbing,  boring  into  the 
jawbones;  hollow  teeth  feel  too  long;  pain  extending  down 
the  throat ;  better  when  pus  is  discharged ;  gums  swollen, 
bleeding  easily,  or  they  are  bluish-red,  beating  and  burning, 
worse  from  any  thing  warm;  toothache  worse  after  warm  and 
cold  drinks,  after  eating  and  awaking  ;  with  headache,  beating 
over  the  eyes,  stitches  in  the  ears,  swelling  of  the  cheek;  pains 
in  the  limbs  of  the  opposite  side,  chills,  fever  and  thirst.  It  is 
particularly  suited  for  colds  in  damp,  warm,  spring  weather ; 
during  menstruation,  the  smaller  the  discharge  the  greater  the 
pain,  at  the  cessation  of  the  menstruation  ;  for  melancholic  and 
choleric  persons,  for  persons  of  vivid  imagination;  after  long- 
continued  grief,  and  after  the  abuse  of  mercury. 

25.  Phosphoric  acid  is  suitable  for  bleeding  and  swollen  gums; 
tearing  pains  which  are  worse  when  warm  in  bed,  and  also  from 
heat  and  from  cold,  burning  in  the  front  teeth  during  the  night; 
pains  from  hollow  teeth,  extending  to  the  head. 

26.  Ainum  virus  for  the  most  violent  pains  in  the  gums,  also 
for  jerks  an  1  throbbing  in  the  molars,  with  involuntary,  sudden 


202  TEEATMENT   OF   DISEASES. 

biting   together  of  the   teeth,  headache   and   bleedii.g  of  the 
gums. 

27.  Silicea  for  tedious,  boring,  tearing  pains  day  and  night, 
worse  during  the  night,  spreading  over  the  whole  cheek,  also 
into  the  bones  of  the  face ;  discharge  of  offensive  matter  from 
openings  near  the  roots  of  the  teeth,  or  from  the  gums ;  swelling 
of  the  jaw. 

28.  Dulcamara  is  sometimes  useful  for  toothache  proceeding 
from  cold,  particularly  when  accompanied  by  diarrhoea,  and 
when  Chamomilla  does  not  answer ;  also  when  there  is  at  the 
same  time  confusion  of  the  head,  or  when  the  toothache  is 
accompanied  by  profuse  salivation  (similar  in  this  to  Belladonna 
and  Mercurius),  and  the  teeth  feel  blunt. 

29.  Gilcarea^  for  toothache  in  pregnant  females;  pains  in 
hollow  teeth,  especially  around  loose  stumps;  pressing,  draw- 
ing, jerking,  soreness;  drawing,  pricking,  rootmg,  gnawing, 
grubbing,  throbbing  pains,  with  swelled  gums,  which  are  sore, 
bleed  easily,  throb  and  pain;  it  is  only  suitable  when  there  is 
determination  of  blood  toward  the  head,  particularly  durmg 
the  night;  when  the  pains  are  caused  by  taking  cold,  or  are 
aggravated  by  cold  or  a  draught  of  air;  the  patient  can  neither 
bear  warm  nor  cold  drinks — even  noise  makes  it  worse. 

30.  Causticum^  for  toothache  arising  from  breathing  in  the 
open  air,  generally  attended  with  stinging,  throbbing  pain  and 
a  feeling  of  soreness;  or  the  teeth  feel  painfully  loose  and 
lengthened,  as  if  forced  out  of  their  sockets,  {Arnica,  Phosi^horic 
acid) ;  when  there  are  ulcers  at  the  roots  of  the  teeth,  the  gn-ms 
suppurating  are  swollen  and  very  tender.  The  pain  frequently 
affects  the  whole  of  the  left  side  of  the  face,  especially  at  night 
when  the  patient  lies  on  it,  and  is  equally  sensitive  to  heat  and 
cold ;  in  long-continued  or  often  returning  colds. 

Swelled  Face. 

When  the  cheek  remaim  swollen  after  the  toothache  has  ceased, 
it  may  be  removed  by  giving  Pulsatilla,  i^  Mercurius  or  Chamo- 
miVa  have  been  previously  taken  for  the  pain;  ov  Mercurius, 


CHAP.  VII.        AFFECTIONS  OF  THE  TEETH.  203 

after  Pulsatilla  or  Belladonna;  or  Belladonna  iiftev  Mercurius ; 
or  Sulphur  after  Belladonna,  Bryonia,  Arsenicum,  &c.  If  the 
swelling  is  red,  as  in  erysipelas,  Mercurius  should  be  given  ;  if 
less  red  but  hard  and  stiff,  Arnica.  Hepar,  when  the  swelling 
begins  to  soften,  and  appears  as  if  about  to  suppurate,  followed 
by  a  dose  or  two  of  Lachesis  if  the  Hepar  does  not  effect  a  speedy 
abatement  of  the  swelling,  and  then  by  Separ  again  or  by  Mer- 
curius, if  the  latter  have  not  been  taken  before. 

Benefit  will  also  be  derived  by  laying  a  boiled  or  roasted  fig,  or  a  portion 
of  one  on  the  swollen  gum.  Externally,  apply  nothing  but  a  handkerchief  to 
keep  ofi"  the  air,  except  when  there  is  much  tension,  and  the  swelling  is  not 
extensive  ;  in  this  case,  make  a  linen  compress  about  the  size  of  a  half  dollar 
piece,  dip  it  into  warm  water,  and  after  squeezing  it,  apply  it. to  the  swelling, 
and  tie  a  dry  handkerchief  over  it ;  if  the  swelling  spreads  extensively,  or  if 
it  becomes  yellowish  or  red,  and  blistered,  a  small  flat  bag  of  rye  flour  or 
bran,  moderately  heated  and  applied  to  the  cheek,  may  be  of  advantage.  If 
it  itches  much,  hair  powder  or  wheat  starch  will  be  beneficial ;  if  it  breaks 
externally,  apply  a  rag  greased  with  fresh  lard  or  simple  ointment,  and  tie  a 
handkerchief  over  it. 

Face  ache,  Neuralgia,  (Tic  doloureux.) 

In  this  painful  complaint  you  can  often  obtain  relief  from  the  remedies 
recommended  for  toothache  or  those  which  follow  ;  if  they  are  insufficient 
consult  a  homoeopathic  physician.  Do  not  believe  that  this  complaint  can 
be  cured  by  cutting  or  burning ;  in  most  cases  when  the  nerve  was  cut  or 
burnt  out,  it  has  returned  in  a  much  worse  form.  Sometimes  you  may  be 
relieved  by  cold  or  warm  water,  whichever  suits  best. 

Aconiium,  if  there  is  redness  and  heat  of  the  face ;  the  paroxysms 
preceded  by  a  slight  itching  or  crawling  pain;  great  exaspera- 
tion, with  agitation,  restlessness,  &c. ;  and  especially  when  the 
neuralgia  alternates  with  rheumatic  pains. 

Belladonna,  if  the  pain  is  most  violent  under  the  eye,  and  is 
excited  by  rubbing  the  part  affected  ;  darting  pains  in  the  cheek- 
bones, nose,  jaws,  or  cutting  and  tensive  pains,  with  stiffness  at 
the  nape  of  the  neck,  and  clenching  of  the  jaws ;  twitches  in  the 
eyelid,  or  violent  shooting  and  tearing,  and  dragging  pains  in 
the  ball  of  the  eye;  convulsive  jerking  in  the  muscles  of  the 
face,  and  distortion  of  the  mouth  ;  heat  and  redness  in  the  face. 
The  pain  comes  in  spells,  it  disappears  almost  entirely  and 
returns  after  a  while,  it  is  generally  preceded  by  itching  and 
creeping  in  the  affected  side  of  the  face,  and  at  times  becomes  so 


204  TREATMENT   OF   DISEASES. 

severe  as  to  be  almost  insupportable;  generally  on  tbe  right 
side. 

Platinum^  when  the  attacks  are  preceded  bj  a  feeling  of  cold- 
ness and  torpor  in  the  affected  side  of  the  face,  with  severe  spas- 
modic pain,  or  tensive  pressure  in  the  cheek,  with  a  sensation  of 
creeping  or  crawling,  worse  in  the  evening  and  when  at  rest ; 
redness  of  the  face,  running  of  the  eyes,  &c. 

Cohcynthis  against  violent  rending  and  darting  pains ;  which 
chiefly  occupy  the  left  side  of  the  face,  are  aggravated  by  the 
slightest  touch,  and  extend  to  the  head,  temples,  nose,  ears, 
teeth,  &c. 

Arsenicum,  when  the  attacks  return  periodically,  and  the  pains 
are  more  especially  of  a  burning^  pricking  and  rending  character, 
chiefly  around  the  eye  and  occasionally  in  the  temples,  the  suf. 
fering  occasionally  so  severe  as  almost  to  drive  the  patient  dis- 
tracted ;  great  anguish ;  excessive  prostration,  with  desire  to  lie 
down ;  sensation  of  coldness  in  the  affected  parts ;  worse  after 
fatigue,  in  the  evening,  when  in  bed,  or  after  a  meal ;  temporary 
amelioration  from  external  heat ;  first  on  the  right  side  and  then 
on  the  left. 

Chiria,  against  periodical  attacks  of  intense  pains,  brought  on 
by  the  slightest  touchy  particularly  if  the  patient,  when  anybody 
comes  near  liim,  puts  up  his  hand  as  if  he  was  afraid  of  being 
touched ;  torpor  and  weakness  in  the  affected  part ;  talkative ; 
ill-humored ;  the  face  pale,  now  and  then  flushed. 

Veratrum,  against  insupportable  pricking,  pinching  and  draw- 
ing pains,  which  almost  drive  the  patient  to  distraction ;  one- 
sided or  from  left  to  right ;  excessive  weakness,  even  to  fainting; 
chilliness;  worse  on  getting  warm  in  bed,  or  towards  morning; 
temporary  relief  on  moving  about, 

Spigelia  for  periodical  attacks  like  intermittent  fever;  the 
pains  of  a  burning  and  tensive  character,  and  chiefly  in  the 
cheek  bones  above  the  eyebrow,  in  the  eye-ball,  worse  on  the 
left  side. 

Heat  and  throbbing.  Arnica.  Heat  and  pressing  pain,  better 
from  external  pressure,  Bryonia.     Heat  with  throbbing,  shool- 


CHAP.  Vlir.  AFFECTIONS   OF   THE   MOUTH.  205 

ing,^cutting,  tearing  pain  or  burning  pressure  in  the  cheek  bones, 
particularly  on  the  left  side,  Stapkisagria.  Heat  in  the  Sice,  and 
pain  from  above  downwards,  as  if  from  a  thread  deep  in  the  bones 
of  the  left  side,  Ce^^a.  Tearing  pain  (first  left,  then  right  side), 
China.  Drawing  and  tearing  in  the  bones,  worse  when  touched, 
China  and  Hepar.  Pressing  or  squeezing  in  the  jaw-bones,  Hyos 
cyamus.     Pressing,  cutting,  stabbing,  Rhus. 

For  violent  pains,  mostly  in  the  bones,  look  under  Belladonna^ 
Hepar^  China,  Ryoscyamus^  Staphisagria.  For  jerking,  shooting 
pains,  Pulsatilla. 


CHAPTER    YIII. 

AFFECTIONS  OF  THE  MOUTH. 

Bad  Taste  in  the  Mouth. 

If  the  taste  in  the  mouth  is  altered  and  the  other  symptoms  are  not  suffi- 
cient for  the  selection  of  the  proper  remedy,  consult  the  following  list : 

Bitter  taste  In  the  morning. — Sulphur,  Mercurius  vivus,  Bryonia,  Calcarea, 
Silicea. 

When  solid  food  tastes  bitter.  —  Sulphur,  Bryonia,  Eheum,  Rhus  tox., 
Hepar,  Colocynthis,  Ferrum  metall.  ;  food  and  drink  both  bitter, 
Pulsatilla,  China;  bitter  taste  after  eating  or  drinking,  Pulsatilla, 
Bryonia,  Arsenicum  ;  in  the  morning  or  evening,  Pulsatilla,  Arnica; 
at  different  times,  or  continually,  besides  the  above  medicines,  Aco. 
nitum.  Belladonna, Veratrum,  Nux  vomica,  Chamomilla,  Antimoniura 
crudum,  Carbo  vegetabilis. 

For  sweet  taste. — Mercurius  vivus,  Sulphur,  Cuprum,  Belladonna,  Pulsa- 
tilla, Bryonia,  China,  Ferrum,  Spongia;  in  the  morning,  Sulphur; 
when  bread  leaves  a  sweet  taste,  Mercurius  vivus;  beer,  Pulsatilla; 
bloodlike,  sweetish  taste,  Ferrum,  Sulphur;  when  like  walnuts, 
Coffea. 

For  salt  taste. — Carbo  vegetabilis,  Eheum,  Phosphoric  acid,  Nux  vomica, 
Sulphur,  Arsenicum,  Natrum  mariaticum,  Cuprum  ;  when  victuals 
taste  salt,  Carbo  vegetabilis.  Sulphur;  salt  taste  when  coughing, 
Carbo  vegetabilis,  Cocculus. 
19 


206  TEEATMENT   OF   DISEASES. 

For  sour  taste. — Rheum,  Phosphoric  acid,  Nux  vomica,  China,  Sulphur,  Cap. 
sicum,  Calcarea,  Natrum  muriaticum,  Cocculus,  Cuprum ;  the  victuals 
taste  sour,  China,  Calcarea;  after  meals,  Pulsatilla,  Nux  vomica, 
Carbo  vegetabilis,  Natrum  muriaticum,  Cocculus,  Silicea;  after 
drinking  water,  Nux  vomica.  Sulphur;  after  drinking  milk,  Carbo 
vegetabilis,  Sulphur  ;  in  the  morning,  Nux  vomica.  Sulphur. 

Acrid,  biting  taste, — Veratrum,  Rhus  tox. ;  burnt,  smoky  taste,  Pulsatilla, 
Nux  vomica,  Sulphur;  taste  like  herbs,  Veratrum,  Nux  vomica; 
taste  like  peppermint,  Vetralrum, 

Earthy  taste. — Pulsatilla,  Hepar,  China;  insipid  taste,  Pulsatilla,  Rheum, 
Staphisagria,  Bryonia,  China,  Sulphur,  Dulcamara,  Rhus  tox..  Ipe- 
cacuanha, Capsicum  ;  slimy  taste.  Belladonna,  Rheum,  Arnica,  Rhus 
tox.,  Platina ;  greasy,  oily  taste,  Silicea,  Causticum  ;  suety  taste, 
Causticum  ;  sticky  taste,  Phosphoric  acid  ;  watery  taste,  Staphisa- 
gria, China,  Causticum. 

Putrid  taste. — Arnica,  Mercurius  vivus.  Belladonna.  Bryonia,  Chamomilla, 
Pulsatilla,  Aconitum,  Veratrum,  Phosphoric  acid,  Sulphur,  Rhus 
tox.,  Natrum  muriaticum,  Cuprum,  Causticum ;  in  the  morning. 
Sulphur,  Rhus  tox.  ;  after  meals,  Rhus  tox. ;  taste  like  pus,  Pulsa- 
tilla. 

"When  tobacco  has  a  sharp  taste — Staphisagria;  when  bitter,  Cocculus; 
loathsome.  Ipecacuanha;  disagreeable,  Ignatia,  Pulsatilla,  Nux 
vomica,  Arnica,  Calcarea,  Cocculus. 

When  the  victuals  have  no  flavor. — Mercurius,  Pulsatilla,  Staphisagria, 
Bryonia,  Nux  vomica,  Arsenicum;  absence  of  taste,  Veratrum, 
Belladonna,  Pulsatilla,  Rheum,  Bryonia,  Hepar,  Hyoscyamus  ;  in 
chronic  cases,  Silicea,  Natrum  muriaticum. 


Offensive  Breath. 

Bad  breath  may  be  caused  by  the  stomach,  abuse  of  mercury,  decayed 
teeth,  disease  of  the  gums,  ulcers  in  the  mouth,  or  want  of  proper  attention  to 
cleanliness,  leaving  particles  of  food  in  the  teeth,  <tc. 

Rinse  the  mouth  and  throat  after  every  meal  with  cold  water,  and  brush 
the  teeth  with  a  soft  brush  once  or  twice  a  day. 

If  from  a  decayed  tooth,  consult  a  dentist ;  or  if  this  cannot  be  conveniently 
done,  the  tnoth  should  be  carefully  cleansed  and  filled  with  wax.  The  tooth 
can  be  readily  cleaned  by  making  use  of  a  roll  of  blotting  paper  of  convenient 
size,  and  applying  it  repeatedly  to  the  decayed  part. 

A  still  better  material  for  stopping  hollow  teeth  is  gutta  percha.  A  piece 
of  this  substance  large  enough  to  fill  the  cavity  should  oe  heated  at  the  fire 
or  in  a  cup  of  hot  water,  and  the  cavity  having  been  carefully  cleansed  and 
dried  with  cotton  or  blotting  paper,  the  soft  gutta  percha  should  be  pressed 
into  it.     It  will  soon  harden   and  this  stuffing  will  often  remain  in  for  years. 

Rinsing  the  mouth  with  water  containing  charcoal,  or  chewing  a  roasted 
cofiTee-bean  wilUmprove  the  breath  for  awhile. 


CHAP.  VIII.  AFFECTIONS   OF  THE   MOUTH.  207 

The  smell  of  garlic  or  horseradish  will  be  destroyed  by  drinking  some  wine 
or  hy  eating  a  pear  or  boiled  beet-root. 

When  the  offensive  breath  arises  from  deranged  stomach,  or  other  dis- 
eases, the  proper  remedy  for  it  will  be  found  under  their  respective  heads.  But 
when  it  is  the  chief  symptom,  and  its  origin  can  be  traced  to  no  apparent 
cause,  the  following  remedies  will  frequently  remove  it:  Niix  vomica,  iSilicea, 
Fiil.Hdtilla,  Sulphur,  Arnica,  Chamonii/la,  Mcrcuiius,  Bryonia,  Hi/o.sci/annis 
and  Arsenicuni,  according  to  the  character  and  temperament  of  the  patient. 

If  the  bad  breath  is  only  perceived  in  the  morning,  Nux  vomica  ;  in  the 
morning  and  at  night,  Pulsatilla;  after  dinner  only,  Sulphur  or  Chamornilla. 
If  the  breath  smells  like  onions,  give  Cepa ;  as  if  much  mercury  had  been 
used,  sweetish,  Mercurins ;  rotten,  Carbo  ve</e/iiljilis ;  for  bad  breath  with 
white-coated  tongue  ;  of  persons  of  a  very  changeable  disposition  and  who 
easily  take  cold,  give  Nux  moschata. 


Scurvy  in  the  Mouth.    Canker  of  the  Mouth. 

In  this  affection  the  gums  become  hot,  red,  and  very  sensitive  ;  they  swell, 
become  spongy,  and  shrink  from  the  teeth  ;  small  ulcers  make  their  appear- 
ance on  the  gums,  the  inside  of  the  lips,  the  cheeks,  on  the  palate  and  even 
on  the  tongue ;  a  putrid,  very  offensive  smell  is  emitted  from  the  mouth,  there 
is  a  discharge  of  tough,  bloody  phlegm  and  saliva  from  the  gums  ;  the  teeth 
are  usually  loosened,  and  chewing  and  swallowing  consequently  difficult ; 
sometimes  the  glands  of  the  throat  swell  and  become  painful;  the  patient 
becomes  very  weak,  and  suffers  from  a  slow  fever. 

Merctirius,  in  almost  every  case  of  scurvy,  is  the  most  effica- 
cious remedy,  and  may  always  be  given  at  the  commencement 
of  the  disease,  unless  it  has  been  brought  on  by  the  abuse  of 
this  medicine ;  in  which  case,  it  will  be  necessary  to  give  Caj-bo 
vegetabilis  as  an  antidote,  to  be  followed,  if  necessary,  by  Hepar 
or  Dulcamara. 

If  the  disorder  has  arisen  from  the  excessive  use  of  salt  food, 
Carlo  vegetabilis  or  Arsenicum  will  be  of  most  service,  and  if 
these  foil  to  produce  a  favorable  change,  a  drop  of  sweet  spirits 
of  nitre  may  be  taken  once  or  twice  a  day  with  benefit. 

Ca'psicum  may  be  indicated  as  the  first  remedy  when  the 
affection  occurs  in  inert  and  corpulent  persons,  and  arises  from 
uncleanliness  or  want  of  exercise  in  the  open  air. 

Arsenicum  may  be  given  as  a  first  remedy  if  the  ulceration  is 
very  extensive  with  violent  burning  pains,  and  in  alternation 
with  China  if  gangrene  is  threatened,  the  gums  becoming  black, 
&c. ;  or  when  Mercurius  has  proved  inefficacious. 

Dulcamara,  when  the  disorder  results  from  taking  cold,  and 


208  TREATMENT   OF   DISEASES. 

the  glands  of  the  throat  are  swollen  and  hard  ;  also  after  Mer 
curivs  when  that  remedy  fails. 

Carho  vegetabilis,  besides  being  preferable  in  all  those  cases 
arising  from  the  abuse  of  mercury  or  salt,  is  particularly  bene- 
ficial when  the  gums  l)leed  much,  and  smell  offensively. 

Natrum  muriaticum  when  the  ulcers  spread  slowly,  the  gums 
sw<jllen,  bleeding  and  very  sensitive ;  every  thing  cold  or  warm, 
or  eating  and  drinking  effects  them ;  when  blisters  and  small 
ulcers  appear  on  the  tongue,  which  bite  and  burn,  and  render 
talking  painful. 

Among  the  many  domestic  remedies  in  vogue  for  this  complaint,  the  one 
which  is  most  to  be  recommended  is.  rubbing  the  gums  with  slices  of  lemon 
or  rinsing  the  mouth  with  lemon  juice ;  this  is  productive,  in  the  beginning 
of  the  disease,  especially  in  summer  and  at  sea,  of  a  very  salutary  effect. 

Sage,  also,  is  very  good  in  many  kinds  of  this  disease ;  rinsing  the  mouth 
with  brandy  is  sometimes  of  service. 

Affections  of  the  Tongue. 

Aconiium  for  intense  inflammation  with  fever,  acute  lancina- 
ting pains,  &c. 

Mercurius,  after  Acojiitum;  or  at  first  when  there  is  violent  pain, 
swelling,  hardness  and  salivation  ;  also  in  ulceration  of  the 
tongue. 

Belladonna,  when  Mercurius  does  not  effect  a  cure,  and  the 
inflammation  extends  to  other  parts  of  the  mouth ;  also  when 
numerous  small  ulcers  make  their  appearance  on  the  tongue, 
gums,  &c.  It  may  be  taken  in  alternation  with  Mercurius  for 
induration  of  the  tongue. 

Arnica  and  Acomtum,  alternately  every  five  to  six  hours,  will 
be  most  efficacious  in  inflammations  caused  by  wounds. 

Arsenicum  and  Lachesis  in  dangerous  cases,  with  threatened 
gangrene,  indicated  by  dark  and  greenish  or  black  appearance 
of  the  tongue,  &c. 

Phosphoric  acid  in  inflammation  produced  by  biting  the  tongue 
during  sleep. 

Apium  virus,  if  the  tongue  looks  scalded,  with  burning  blis- 
ters on  its  left  margin,  burninp-  stitching,  bright  redness  and 
drvness. 


CHAP.  IX.  AFFECTIONS   OF   THE   STOMACH.  209 

In  some  instances,  when  the  swelling  has  become  so  enor- 
mous as  to  threaten  suffocation  before  a  physician  can  be  had, 
it  may  be  necessary  to  make  free  longitudinal  incisions  in  the 
tongue,  in  order  to  save  life. 

For  lameness  of  the  tongue^  give  Belladonna,  Ilyoscyamus,  or 
Hux  moschata,  according  to  the  other  symptoms  and  dispositions 
of  the  patients. 

If  children  will  not  learn  to  talJc^  give  Natrum  muriaficum,  one 
dose,  and  let  it  act  for  many  weeks. 


CHAPTER   IX. 

AFFECTIONS  OF  THE  STOMACH. 

Want  of  Appetite. 

The  common  remedies  for  exciting  the  appetite  are  mostly  calculated  to 
impair  it  altogether.  Articles  highly  salted,  sour  or  sharp  ;  burning,  heating 
spices,  roots,  herbs  or  barks  steeped  in  liquor,  and  taken  as  stomachics  may 
be  beneficial  medicines  when  used  at  the  proper  time,  in  the  right  case,  and 
in  appropriate  quantities ;  and  every  one  knows  from  his  own  experience,  or 
has  witnessed  it  in  others,  that  they  sometimes  produce  a  salutary  effect.  But 
as  all  medicines  are  injurious  when  taken  in  too^great  quantities,  or  too  fre- 
quently, the  trying  of  many  of  these  things  must,  of  course,  do  more  harm 
than  good,  and  particularly  when  the  patient  accustoms  himself  to  their  use. 
Of  what  benefit  is  it  to  awaken  the  appetite  for  a  day  or  two,  if  it  fails  again 
immediately?  As  it  is  the  case  with  all  food  that  is  partly  retained  in  the 
body  and  partly  thrown  off,  so  it  is  with  these  substances  also,  which  con- 
taining no  nutriment,  cannot  supply  any  to  the  human  economy.  By 
degrees,  these  extraneous  substances  so  accumulate  in  the  system,  that 
they  cause  incurable  diseases;  not  in  the  intestines,  whence  they  might  be 
expelled  by  aperients  ;  not  in  the  blood,  whence  they  might  be  extracted  by 
bleeding.  No,  these  are  popular  errors  ;  every  physician  who  knows  anything 
of  physiology,  is  aware  that  nothing  can  remain  in  the  blood  any  more  than 
in  tilt;  intestines,  the  former  changing  every  day  ;  but  it  is  the  solid  parts  of 
the  body  which  undergo  a  change. 

Persons  who  use  these  things  now  and  then  in  small  quantities,  cannot  do 
themselves  great  harm.  Sometimes  salt  fish  or  acids,  particularly  in  summer, 
have  a  good  effect,  especially  when  the  stomach  craves  these  things,  and  when 
this  craving  ceases  after  having  been  satisfied,  if  the  same  craving  returns 
very  soon,  it  is  a  sign  that  their  use  is  injurious. 

The  best  remedy,  in  addition  to  exercise  and  recreation  in  the  open  air,  is 

p  19* 


210  TREATMENT   OF   DISEASES. 

the  regular  use  of  cold  water.  In  the  morning,  particularly  fasting,  an  hour 
or  two  before,  and  a  couple  of  hours  after  each  meal,  and  in  the  evening  before 
going  to  bed,  drink  regularly  a  glass  of  water.  At  dinner  drink  moderately, 
and  after  a  heavy  meal  but  small  quantities  at  a  time. 

Weakness  of  the  Stomach.    Dyspepsia.    Indigestion. 

The  most  essential  information  resppcting  this  complaint,  when  it  is  felt 
very  soon  after  eating,  has  been  given  under  Chapter  IV.,  Part  1.  When 
arising  from  other  causes,  see  Chapters  I.,  II.  and  V.,  Part  I.  There  are, 
however,  many  cases  where  different  causes  exercise  at  Influence  at  the  same 
time  ;  or  where  the  causes  are  not  known,  or  some  are  of  a  temporary  nature, 
while  others  are  lasting,  the  latter  generally  passing  under  the  name  of  dys- 
pepsia ;  some  cases  of  this  kind  are  the  commencement  of  violent  and  dangerous 
diseases.  "  Dyspepsia"  is  a  very  covenient  name  often  used  by  physicians  to 
conceal  their  ignorance.  It  means  "bad  digestion,"  and  this  acompanies  a 
great  many  diseases,  it  is  generally  a  mere  symptom  of  another  disease  which 
the  physician  does  not  know,  he  therefore  calls  the  disease  "  Dyspepsia,"  and 
most  patients  are  satisfied,  because  they  believe  a  physician  can  cure  every 
disease  which  he  can  call  by  a  learned  name  !  We  will  here  mention  several 
kinds  which  every  one  can  cure  himself;  but  there  are  many  complaints  called 
dyspepsia  which  need  the  aid  of  a  homoeopathic  physician. 

The  most  important  condition  for  a  cure  is  a  rational  mode  of  living,  not 
adopted  for  a  time  merely,  but  permanently;  the  food  must  be  wholesome, 
nutritive,  of  sufficient  quantity,  and  also  varied,  to  suit  the  requirements  of 
the  stomach. 

For  all  cases  of  weak  stomach,  and  which  are  usually  attended  with  want 
of  appetite,  nausea,  pains,  particularly  griping,  disturbed  sleep,  weakness, 
select  from  among  the  first  medicines  here  prescribed,  in  chronic  cases  among 
those  found  further  on. 

Arnica^  when  the  disorder  is  caused  by  a  blow  upon  the  sto- 
mach, or  by  lifting  heavy  weights,  with  pain  and  a  sensation  as 
if  brukcn  in  the  small  of  the  back;  by  want  of  rest;  much 
mental  application,  and  generally  when  arising  from  over-excite- 
ment and  irritability,  when  the  patient  is  very  nervous,  the 
tongue  dry,  or  coated  yellowish ;  the  taste  putrid  or  bitter  and 
sour,  with  a  bad  smell  from  the  mouth ;  the  patient,  even  if 
accustomed  jO  smoking,  loathes  tobacco ;  has  a  craving  for  some- 
thing axsid  ;  eructations  sometimes,  with  a  taste  as  of  bad  eggs; 
after  meals  a  sense  of  fulness  in  the  pit  of  the  stomach,  inclina- 
tion to  vomit,  retching,  flatulency ;  the  abdomen  is  distended ; 
accompanied  by  a  heaviness  in  all  the  limbs,  weakness  in  the 
legs,  giddiness,  fulness  in  the  head,  particularly  over  the  sockets 
of  the  eyes,  dull  feeling  and  heat  in  the  head,  disagreeable 
warmth,  frequent  awaking,  starting  when  asleep,  troubled  dreams. 


CHAP.  IX.  AFFECTIONS   OF   THE   STOMACH.  211 

If  Aryiica  does  not  suffice  in  these  cases,  give  Kux  vomica  or 
Chamomilla. 

Xux  vomica,  if  caused  by  dissipation  and  late  hours,  by- 
drinking  wine  or  coffee,  particularly  if  the  patient  has  taken 
cold  besides;  when  the  mouth  is  dry  without  thirst,  the  tongue 
Coated  white;  accumulation  of  phlegm  in  the  mouth,  and 
heart-burn,  no  taste,  or  all  kinds  of  food  taste  insipid,  water 
collects  in  the  mouth,  vomiting,  pressure  and  weight  in  the 
stomach,  the  abdomen  is  distended,  slight  and  hard  evacuations, 
oi  constipation  ;  reeling,  giddiness  or  dulness  in  the  head,  heavi- 
ness in  the  back  part  of  the  head,  ringing  in  the  ears,  drawing 
in  the  tteth,  sometimes  below  and  sometimes  above;  drawing 
in  the  limbs;  want  of  energy  and  aversion  to  thinking;  the 
patient  is  restless,  quarrelsome,  sullen  ;  at  times  there  is  heat  in 
the  face  ;  red  pimples  on  the  face. 

Chamomilla,  when  the  patient  has  eaten  or  drunk  soon  after 
gieat  anger,  and  has  now  a  bitter  taste  in  his  mouth,  eructation 
as  from  bile,  vomiting  of  green  phlegm  or  light  bile;  tossing 
about  during  sleep,  frequent  awaking,  pain  and  fulness  in  the 
head,  the  face  red  and  hot,  the  eyes  red  and  burning,  the  mind 
very  sensitive. 

Pulsatilla,  when  different  kinds  of  meat  or  drinks,  which  do 
not  agree  with  each  other,  have  been  taken  at  the  same  time, 
particularly  such  as  produce  flatulency ;  or  when  much  fat  has 
been  eaten,  especially  of  pork  and  mutton,  or  sausages,  anything 
fried  in  rancid  butter,  or  pies  baked  in  mixed  fat ;  uhen  the 
taste  is  bitter,  salt,  or  resembles  that  of  putrid  meat  or  tallow ; 
bread  and  all  other  kinds  of  food  produces  a  bitter  taste ;  dis- 
taste to  tobacco ;  and  also  when  there  is  accumulation  of  phlegm 
in  the  mouih,  a  grating  in  the  throat,  eructation  as  from  bile,  or 
acidity  and  acrid  bile  in  the  stomach,  a  particular  aversion  to 
warm  food,  the  abdomen  is  distended,  tight,  particularly  under 
the  ribs,  rolling  and  rumbling  in  the  abdomen;  sIoav,  trouble- 
some, small  evacuations  or  diarrhoea ;  drawing  in  the  limbs  as 
from  fever  and  ague ;  the  patient  feels  chilly,  weak,  is  cross, 
silent,  annoyed  at  every  trifle,  with  little  inclination  to  speak. 


212  TREATMENT   OF   DISEASES. 

China  is  often  most  suitable  when  the  air  is  infected  with 
noxious  vapors,  in  spring  and  autumn,  when  wet  days  are  suc- 
ceeded by  dry  weatlier ;  in  countries  where  there  are  many 
canals,  particularly  if  recently  made,  or  where  there  is  much 
drained  land,  or  many  fogs ;  also  for  persons  who  are  obliged  to 
work  where  they  breathe  noxious  odors,  and  have  not  a  suffi- 
cient supply  of  fresh  air;  it  frequently  cures  the  forerunners  of 
fever  and  ague,  and  sometimes  prevents  the  fever  altogether. 
There  is  a  constant  feeling  of  having  eaten  to  satiety,  indiffer- 
ence to  food  and  drink ;  after  eating,  the  victuals  remain  a  long 
time  in  the  stomach;  constant  eructations,  the  undigested  food 
is  frequently  thrown  off;  morbid  craving  for  something  strong, 
sharp  or  sour ;  weakness  in  the  body,  and  a  disposition  to  lie 
down,  without  being  able  to  remain  quiet ;  the  patient  is  obliged 
to  bend  and  stretch  his  limbs,  which  are  quite  stiff  in  the  morn- 
ing; frequent  flushes  of  heat;  chilliness  after  every  breath  of 
air;  the  urine  is  dark  colored  and  deposits  a  copious  sediment; 
after  lying  down  the  patient  finds  it  difficult  to  go  to  sleep, 
and  is  constantly  disturbed ;  the  disposition  is  melancholy  and 
morose. 

Antimonium  crudum,  when  the  patient  feels  sick  at  the 
stomach,  the  tongue  is  coated  or  blistered ;  frequent  eructations 
which  taste  of  the  food  last  taken,  or  gulping  up  of  the  undi- 
gested food  without  sickness ;  the  mouth  feels  dry,  or  the  saliva 
flows  from  it:  there  is  much  thirst,  particularly  during  the 
night;  accumulation  of  phlegm  in  the  throat,  or  vomiting  of 
phlegm  and  bile,  the  stomach  feels  too  full,  or  is  sore  when 
touched;  there  is  besides  flatulency  and  griping,  or  constipation 
and  diarrhoea.  If  Antimonium  crudum  does  not  soon  produce 
a  favorable  change,  give  Bryonia. 

Bryonia,  when  the  stomach  is  disordered,  and  the  patient  feels 
cold  and  chilly;  the  bowels  constipated,  the  tongue  coated 
white  or  yellow,  or  blistered  as  under  Antimonium  crudum. 
Thirst,  both  by  night  and  day;  dryness  in  the  throat  and 
the  stomach.  It  is  most  suitable  in  summer,  or  when  the  weather 
is  warm  and  damp. 


CHAP.  IX.  AFFECTIONS   OF   THE   STOMACH.  213 

Cepa,  110  hunger  but  much  thirst;  very  great  nausea,  eructa- 
tions ease  a  liltle ;  weakness  in  the  stomach,  as  if  empty,  more 
when  bending  forwards ;  fulness  in  the  head,  much  yawning, 
pain  in  the  bowels  from  winds ;  tongue  always  coated,  particu- 
larly towards  the  root  and  early  in  the  morning. 

Ipecacuanha^  when  the  stomach  is  surcharged  with  phlegm, 
or  is  otherwise  debilitated ;  when  the  tongue  is  not  coated, 
although  the  patient  is  sick  at  the  stomach,  and  vomits;  it  ia 
particularly  indicated  when  there  is  loathing  of  food,  of  tobacco  ; 
for  easy  or  violent  vomiting,  principally  when  accompanied 
by  diarrhoea ;  also  when  the  complaint  returns  every  day,  or 
every  other  day,  at  the  same  hour. 

Hcpar^  when  the  stomach  is  easily  disordered,  notwithstand- 
ing a  regular  mode  of  living  is  followed,  or  when  this  occurs 
despite  the  utmost  care,  and  frequently  with  craving  for  acids, 
strong,  acrid  articles,  or  for  wine ;  when  accompanied  by  nausea, 
sickness  of  the  stomach,  and  eructations,  principally  in  the 
morning  ;  at  times  sour  and  bilious  vomiting  and  throwing  up 
of  phlegm ;  accumulation  of  phlegm  in  the  throat,  pain  in  the 
bowels,  and  hard,  dry  stools.  It  will  be  particularly  useful  for 
weak  stomach  produced  by  taking  blue  pills,  or  other  prepara- 
tions of  mercury. 

Lacliesis  in  cases  where  Hepar  has  been  insufficient,  and  when 
the  complaint  is  worse  immediately  after  meals,  or  early  in  the 
morning ;  when  several  days  pass  without  any  evacuation. 

Tedious  cases  of  dyspepsia  may  sometimes  be  cured  hj  Sul- 
phur— taken  in  very  long  intervals.  When  improving,  the 
patient  should  wait,  until  the  symptoms  remain  stationary  or 
are  decidedly  worse  again,  before  repeating  it.  If  it  fails  to 
effect  a  cure  after  a  considerable  time,  a  few  doses  oi  Belladonna 
or  Mercurius  will  be  of  service,  and  afterwards  Sulphur  may 
act  more  favorably  again 

Mucous  State  of  the  Stomach. 

This  malady  is  characterized  by  debility  of  the  stomach,  attended  with 
Accumulation  of  phlegm  in  the  mouth  and  throat,  or  with  the  throwing  up  of 
phlegm.     In  other  respects  the  symptoms  resemble  those  of  "Disordered 


214  TREATMENT   OF   DISEASES. 

Stomach,"  with  the  exception  that  the  taste  is  more  insipid  or  sweetish, 
Before  dinner  the  patients  are  usually  very  weak  and  miserable,  and  after 
dinner  they  feel  full  and  uneasy. 

In  the  treatment  of  this  complaint,  two  or  three  doses  of  Ipe- 
cacuanha should  be  first  given,  and  then  one  of  the  following 
remedies : 

Eheum,  if  in  addition  to  the  above  symptoms  there  is  diar- 
rhoea of  a  thin,  brown,  slimy  character,  which  smells  sour  or 
musty. 

Voratrum,  when  the  symptoms  are  violent  and  accompanied 
by  vomiting  of  bile,  or  bilious  diarrhoea,  &c. 

Capsicum,  if  accompanied  by  burning  in  the  throat  or  stomach, 
or  in  the  anus  during  the  evacuations. 

Consult  also  the  symptoms  of  Pulsatilla  and  Hepar  in  last 
chapter. 

Persons  afflicted  with  this  affection  should  take  cold  water 
freely,  six  to  twelve  glasses  every  day,  and  gargle  the  throat 
each  time. 

Heartburn.    Waterbrash. 

Heartburn  consists  of  a  burning  or  gnawing  uneasiness  felt  principally  in 
the  pit  of  the  stomach,  and  usually  followed  after  a  time  by  sour,  or  acrid 
eructations  or  risings. 

In  some  instances  it  spreads  over  the  whole  region  of  the  stomach,  and  is 
attended  with  anxiety,  nausea,  coldness  of  the  extremities,  debility  and  ten- 
dency to  faintness. 

It  is  frequently  connected  with  dyspepsia  and  other  afifections  of  the 
stomach,  and  may  be  cured  by  the  remedies  recommended  for  these  com- 
plaints. 

Generally  Nux  vomica,  PulsafiUa,  Chamomilla,  China,  Capsicum,  Carbo 
ve<jefufjilis,  S/a]>hisar/ria  and  R^UailoiDia  will  be  most  efficient. 

When  caused  by  smoking,  Sfnplisaf^ria  ;  when  it  occurs  chiefly  after  meals, 
China;  if  attended  by  much  thirst,  Belladonna.  For  the  particular  indica- 
tions, however,  see  '-Dyspepsia,"  "  t^pasms  of  the  Stomach,"  and  "  Flatu- 
lency." 

When  these  remedies  are  ineffectual  in  pregnant  females,  a  slice  of  lemon 
sugared  and  kept  in  the  mouth  is  salutary.  Sometimes  drinking  sugar-water 
every  morning,  and  freely  of  cold  water  will  remove  it,  although  it  may  make 
it  worse  in  the  beginning.  Water  crackers  also  give  relief.  Care  should  be 
taken  not  to  use  any  soda  or  potash,  as  those  often  produce  dangerous  mala- 
dies ;  also  avoid  chalk,  magnesia,  prepared  oyster  shells,  &c. "which  often 
remain  in  hard  lumps  in  the  stomach,  particularly  when  aperient  medicines 
are  taken  afterwards. 


CHAP.  IX.  AFFECTIONS   OF  THE   STOMACH.  215 


Nausea  and  Vomiting. 

In  this  complaint  the  possible  cause  ought  to  be  taken  into  consideratiou, 
and  the  remedies  be  selected  accordingly.  Very  frequently  these  syTuptoms 
disappear  of  themselves  after  vomiting,  therefore  it  may  be  promoted  by  giving 
tepid  water,  tickling  the  throat  with  a  feather,  or  by  giving  coffee  without 
milk.     No  emetics  should  be  taken  ;  they  always  weaken  the  stomach. 

Give,  when  the  tongue  is  much  coated  white  or  3'ello\v,  Anti- 
monium  crudum,  or,  when  the  tongue  is  clean.  Ipecacuanha. 
Sometimes  nausea  and  vomiting  are  caused  by  fright,  grief, 
vexation,  by  taking  cold,  overheating,  sitting  up  at  night,  over- 
loading the  stomach,  drinking  intoxicating  liquors  or  chamo- 
mile tea,  smoking,  or  by  using  rhubarb  and  other  medicines. 
Having  ascertained  the  causes  look  under  their  respective 
heads. 

When  nausea  and  vomiting  are  caused  by  a  fall  which  injures 
the  head,  A^-nica  will  remove  it;  when  by  some  foreign  body  in 
the  throat,  see  under  that  head. 

When  connected  with  giddiness  or  headache,  see  Chap.  I., 
Part  II.  ("Headache");  when  the  medicines  recommended  in 
such  cases  do  not  give  relief,  give  Lachesis  once  or  twice,  and 
afterwards  Belladonna.  For  vomiting,  with  cough,  Ipecacuanha^ 
3Iercitriiis,  Capsicum,  Pulsatilla,  Bryonia,  China,  Drosera,  Phos- 
phoric acid,  Sulphur,  Calcarea,  or  Lachesis.  The  particular 
symptoms  for  the  choice  of  each  will  be  found  under  "  Cough" 
or  "  Hooping  Cough." 

When  caused  by  riding,  give  Cocculus. 

Vomiting  from  weakness  of  the  stomach,  occurring  after  every 
meal,  is  often  cured  by  Pulsatilla  or  Nux  vomica,  given  alter- 
nately with  Bryonia.  Pulsatilla  will  be  beneficial  when  the 
stomach  is  so  weak  that  only  very  little  food  can  be  taken  at  a 
time,  and  the  least  surfeit  causes  vomiting  with  spasms  and 
cutting  pain  in  the  bowels,  or  giddiness  and  vomiting  of  white, 
tough  mucus,  diarrhoea,  weakness  of  the  limbs,  sometimes  to 
fainting.  Cocculus,  for  the  same  symptoms  as  the  above,  when 
that  is  insufiicient,  followed,  if  neccessary,  by  Nux  vomica  and 
Bryonia. 


216  TREATMENT  OF   DISEASES. 

China  and  Ferrum,  taken  alternately,  may  be  in  some  cases 
necessary  to  complete  the  cure. 

Sulphur,  followed  by  Arsenicum  or  Hyoscyamus,  may  be  re- 
quired in  some  violent  cases  which  the  foregoing  remedies  have 
failed  to  relieve. 

Calcarea  will  be  serviceable  in  protracted,  tedious  cases,  cspeci 
ally  aft.^^r  Sulphur. 

Vomiting  in  children,  caused  by  worms,  will  most  generally 
be  relieved  by  Cina,  Mercurius,  Ferrum  and  Sulphur ;  see  also 
"  Complaints  caused  by  Worms." 

If  one  vomits  after  ever}'  meal  all  he  has  eaten,  and  if  this  continues  until 
he  lias  becoine  quite  thin,  he  ought  to  eat  of  light  and  nourishing  food,  very 
little  at  a  time,  but  often.  If  he  has  much  pain  before  throwing  up,  he  ought 
to  eat  not  more  than  one  spoonful  every  hour.  At  first,  rich  milk,  cream, 
gruel,  arrow-root  or  starch,  better  with  sugar  than  with  salt;  afterwards,  now 
and  then,  good  broth.  This  will  be  nourishment  enough  while  the  medicines 
have  time  to  act. 

Hi/o>!c;/(imu.t,  for  beating  in  the  pit  of  the  stomach  ;  Arsenicum  for  burning; 
Frrrum  for  pressing ;  Carbo  vegetahilis  for  pressing  outwards ;  Calcarea 
for  stinging 

It  is  still  better  to  consult  a  physician. 

Sea-Sickness. 

Opium  has  given  the  quickest  relief,  and  may  be  repeated 
whenever  the  symptoms  increase.  In  some  cases  Cocculus  is 
better.  Nux  vomica  will  often  be  of  service,  especially  if  the 
stomach  was  disordered  before  going  on  board,  or  is  so  by  the 
manner  of  living  on  board-ship.  Owing  to  the  differences  in  the 
constitutions  of  persons  they  are  differently  affected  by  the  motion 
of  the  ship,  some  becoming  easily  accustomed  to  it,  others  with 
greater  difficulty,  and  others  again,  not  at  all.  Hence  the  reme- 
dies must  be  adapted  to  the  constitutional  peculiarities  from 
which  the  sickness  arises. 

Some  persons  are  benefitted  by  drinking  brandy  and  water, 
and  others  by  eating  raw  ham  highly  peppered.  In  most  cases 
benefit  will  be  derived  by  taking  as  much  exercise  as  possible, 
fjrcing  ones-self  to  eat,  and  placing  blotting  paper  soaked  in  rum, 
brandy,  or  whisky,  on  the  pit  of  the  .stomach.  In  constipation, 
attemled  with  a  putrid  taste  and  bloody  gums,  take  Staphisayria 


CHAP.  IX.  AFFECTIONS   OF    THE   STC^ACH.  217 

Bryonia  is  serviceable  for  that  giddy,  unsteady  feeling  often 
experienced  on  shore  by  those  who  have  recently  come  ofi"  a 
voyage. 

Pains,  Cramps  or  Spasms  in  the  Stomach. 

It  Ie  well  known  that  in  this  complaint  the  old  system  of  medicine  is  entirely 
at  fault;  homoeopathy,  on  the  contrary,  can  do  much.  When  of  long  stand- 
ing and  of  the  worst  kind,  it  is  frequently  cured  in  a  short  time,  even  in  old 
people  ;  but  at  all  events,  by  a  regular  and  continued  course  of  treatment. 
Among  the  domestic  remedies,  many  are  very  injurious  ;  opium  and  morphine 
pills  are  in  few  diseases  more  dangerous  and  injurious  than  in  this. 

The  following  remedies  may  be  tried,  and  will  sometimes  alleviate  the  com- 
plaint. From  time  to  time  a  tablespoonful  of  milk  may  be  swallowed  ;  and 
the  region  of  the  stomach  rubbed  with  olive  or  linseed  oil.  Some  persons 
find  relief  after  taking  thin  chicken  soup,  some  from  the  application  to  the 
region  of  the  stomach  of  a  sheet  of  blotting  paper  steeped  in  rum.  The  same 
persons,  however,  will  find  great  relief  from  taking  Nvx  voniici,  if  they  will 
only  refrain  from  the  use  of  ardent  spirits  and  coffee,  and  even  avoid  smelling 
them.  A  few  handfuls  of  common,  roasted  oatmeal  may  be  placed  warm 
upon  the  stomach  in  a  small  bag — the  meal  must  not  be  quite  as  brown  as 
coffee.  This  is  very  useful  when  the  patient  has  before  taken  opium  or 
laudanum,  which  has,  as  usual,  aggravated  the  complaint. 

Nux  vomica  is  particularly  adapted  to  spasms  occurring  in 
coffee  or  brandy  drinkers,  when  the  pain  in  the  stomach  is 
contracting,  or  pressing,  the  clothes  seem  too  tight,  or.  there 
seems  to  be  a  collection  of  wind  on  the  left  side  under  the  ribs, 
worse  after  eating,  after  rising  early,  sometimes  disturbing  the 
patient  in  his  sleep.  These  pains  are  sometimes  accompanied 
by  oppression  of  the  chest,  as  if  a  band  were  drawn  around  it; 
sometimes  it  extends  between  the  shoulders  and  to  the  small  of 
the  back.  The  pains  are  frequently  attended  by  nausea  or  accu- 
mulation of  water  in  the  mouth  ;  or  sour,  bitter,  burning  water 
rises  in  the  throat ;  vomiting  of  food ;  sour,  putrid  taste  in  the 
mouth;  flatulency;  distension  of  the  abdomen,  and  constipation. 
Sometimes  it  is  accompanied  by  one-sided  headache,  pressing 
pain  in  the  forehead,  or  palpitation  of  the  heart  and  nervousness. 
In  severe  cases  a  dose  may  be  taken  every  three  or  four  hours 
until  relief  is  obtained,  or  if  after  taking  three  or  four  doses  the 
patient  is  not  better,  another  remedy  must  be  selected. 

Generally  Chamoviilla  or  Cocculus  will  be  most  appropriate 
When  the  disease  Is  less  severe,  and  partakes  more  of  a  chronio 

20 


218  TREATMENT   OF   DISEASES. 

character,  a  close  of  Nux  vomica  in  the  evening,  followed  by 
another  next  morning,  will  frequently  be  sufficient  to  eft'ect  a 
cure;  if,  however,  there  should  be  but  temporary  improvement, 
and  the  complaint  returns  again  in  a  few  days,  a  dose  o^  Pulsa- 
tilla, Ghamomilla,  or  Ignatia — whichever  seems  best  adapted  to 
the  symptoms — must  be  given. 

After  this  the  Nux  vomica  may  be  repeated  again,  and  if  the 
disease  returns  notwithstanding,  Carho  vegetahilis  may  be  given. 

If  drinking  coffee  aggravates  the  complaint,  Nux  vomica  will 
be  the  proper  remedy;  if  the  pain  is  relieved  by  it,  Chamomilla. 

Ghamomilla  will  also  be  indicated  when  there  is  a  pressure  on 
the  stomach  as  from  a  stone;  when  the  pit  of  the  stomach  and 
the  parts  immediately  under  the  ribs  on  the  left  side  seem 
swelled,  as  if  they  would  burst,  accompanied  by  shortness  of 
breath.  The  symptoms  are  worse  during  the  night ;  the  patient 
is  exceedingly  uneasy,  tosses  about  in  the  bed,  and  perspires 
profusely;  sometimes  he  is  troubled  with  a  throbbing  pain  on 
top  of  the  head  which  "drives  him  out  of  bed.  The  pain  in  the 
stomach  is  somewhat  alleviated  when  he  draws  himself  up,  and 
lies  perfectly  quiet.  When  the  pains  are  very  violent,  give  first, 
Coffea,  and  afterwards,  if  necessary,  Chamomilla.  If  Chamom,illa 
is  of  but  little  use,  give  Belladonna. 

Spasms  in  the  stomach  during  menstruation  can  generally  be 
cured  by  Nux  vomica  or  by  Chamomilla  ;  but  if  the  discharge 
is  very  scanty,  Pulsatilla  or  Cocculus. 

Cocculus  is  indicated  when  Nux  vomica  gives  some  relief,  but 
the  pain  returns  very  soon,  and  is  accompanied  by  hard  evacu- 
ations, or  entire  costiveness;  when  the  pain  in  the  stomach  is 
accompanied  by  a  pressing,  contracting  pain  extending  over  the 
abdomen,  alleviated  by  the  discharge  of  wind ;  when  there  is 
some  sickness  of  the  stomach,  and  collection  of  water  in  the 
mouth  without  heartburn ;  when  the  patient  is  not  irritable, 
angry,  nor  violent,  but  rather  sullen  and  taciturn. 

Belladonna,  when  Chamomilla  proves  ineffectual,  or  gives 
only  partial  relief,  especially  in  females  who  are  delicate  and 
sensitive;  when  there  is  a  gnawing  pressure  or  a   spasmodic 


CHAP.  IX,  AFFECTIONS   OF   THE   STOMACH.  219 

tightness  of  the  stomach  which  obliges  the  patient  to  lean  hack 
or  to  keep  his  breath  and  which  mitigates  the  pain  ;  also,  when 
the  pain  always  returns  after  dinner ;  when  it  is  so  violent  as  to 
deprive  the  patient  of  consciousness,  or  make  him  faint.  It  is 
mostly  accompanied  by  thirst,  and  drinking  increases  the  pain ; 
evacuations  tardy  and  trifling;  the  patient  cannot  sleep  at  night. 

Bryonia  for  the  same  kind  of  pressure  as  Chamomilla,  particu- 
larly when  it  commences  during  meals,  or  immediately  after- 
wards, and  the  pit  and  region  of  the  stomach  seem  to  be  swollen; 
sometimes  the  pressure  changes  to  a  contracting,  pinching  or 
cutting  pain,  which  is  relieved  by  pressing  upon  the  stomach, 
or  by  eructations  of  wind;  the  pains  are  aggravated  by  motion, 
(the  opposite  in  China).  These  symptoms  are  attended  with 
constipation,  and  a  pressure  in  the  temples,  the  forehead  or  back 
part  of  the  head,  as  if  the  bones  of  the  head  were  being  forced 
asunder,  which  is  better  when  pressed  hard  or  tied  tight  with  a 
handkerchief. 

Pulsatilla,  when  the  pains  are  of  a  piercing  character;  are 
worse  when  walking,  particularly  on  making  a  false  step,  and 
always  accompanied  by  nausea  or  vomiting ;  the  evacuations 
loose;  no  thirst  except  during  the  most  violent  pains;  also 
when  there  is  great  tightness  of  the  stomach,  with  pinching  pain, 
or  violent  throbbing,  with  anxiety ;  griping  pain,  diminished  by 
eating.  The  symptoms  are  usually  made  worse  by  eating, 
especially  of  rich  or  fatty  substances.  This  remedy  is  most 
suitable  for  persons  of  a  mild,  quiet  disposition. 

Nux  moschata.  Pressure,  fulness  and  swelling  of  the  stomach; 
after  eating,  uncomfortable,  short  of  breath,  headache ;  after 
eating  and  drinking,  cramp  and  pain  in  the  bowels  ;  offensive 
breath,  white-coated  tongue ;  the  patient  likes  to  sit  in  the  house 
and  feels  drowsy  from  it, 

Ignatia  will  be  serviceable  in  cases  of  two  or  three  days 
standing,  in  which  several  remedies  have  been  given;  the  pains 
resemble  those  under  Nux  vomica  or  Pulsatilla;  pressure  after 
every  meal  in  the  upper  part  of  the  stomach  or  lower  part  of 
the  throat;   loose  evacuations  of  the  bowels,  and   nausea   or 


220  TREATMENT   OF   DISEASES. 

vomiting.  It  is  suitable  in  cases  brought  on  by  insufficient  food 
or  starvation.  It  is  particularly  indicated  when  the  stomach 
feels  as  if  it  was  hanging  on  a  thread. 

China,  for  spasms  of  the  stomach  in  debilitated  persons, 
brought  on  by  using  emetics  or  cathartics,  being  bled  or  cupped 
frequently,  or  by  profuse  loss  of  blood  in  any  way,  or  by  sali* 
vation  or  loss  of  fluids  by  other  means.  It  is  of  the  first  impor- 
tance in  spasms  occurring  in  females  who  are  nursing,  or  who 
are  debilitated  by  nursing  their  children  too  long;  or  from 
excessive  secretion  and  involuntary  emission  of  milk.  Bella- 
donna will  follow  it  in  these  cases  advantageously.  It  must, 
therefore,  be  given  first,  when  females  have  spasms  in  the  sto- 
mach from  nursing,  particularly  when  much  milk  runs  away 
(here  Belladonna  is  to  be  given  afterwards),  or  when  they  con- 
tinue nursing  too  long,  that  is,  more  than  nine  months ;  in  the 
latter  case  the  child  ought  to  be  weaned.  Generally,  when  the 
digestion  is  not  good,  with  too  great  a  secretion  of  mucus, 
acidity  and  acrid  bile  in  the  stomach;  when  the  stomach  feels 
sore ;  when  meat  and  drink  cause  pressure  and  inflation  of  the 
Btomach,  and  if  the  pains  are  worse  when  the  patient  is  at  rest, 
and  better  when  in  motion,  China  will  be  the  best  remedy. 

Carbo  vegetabilis,  particularly  when  N^ux  vomica  has  proved 
useful,  but  only  for  a  short  time  ;  when  there  is  a  burning  pain, 
or  a  constant,  painful,  agitating  pressure,  worse  when  touched  • 
or  with  a  contracting,  spasmodic  sensation,  forcing  the  patient 
to  bend,  taking  away  his  breath,  and  aggravated  by  lying  down. 
Frequently  accompanied  by  heart-burn  and  nausea  ;  loathing  at 
the  very  thought  of  food ;  constipation. 

Calcaiea,  in  chronic  cases,  or  when  Belladonna  has  been  of 
temporary  benefit ;  for  oppressive,  cutting,  spasmodic,  pinching, 
choking  pains,  with  a  feeling  of  anxiety;  frequently  attended 
by  vomiting  of  food ;  worse  after  eating  and  at  night ;  with  pain 
from  external  pressure ;  it  is  particularly  suitable  for  women 
whose  monthly  illnesses  are,  or  have  been,  very  copious ;  or  for 
those  .t^ho  bleed  much  from  the  nose. 


CHAP.  X.  AFFECTIONS   OF   THE   ABDOMElSr.  221 

Phosphorus.  Violent  pressure  in  the  stomach,  sometimes  worse 
when  empty,  and  sometimes  worse  after  eating. 

Staphisarjria  is  useful  in  some  cases;,  when  there  is  acute  pres- 
sure, tension,  and  squeezing  about  the  pit  of  the  stomach,  which 
sometimes  obstructs  the  breathing,  but  which  is  relieved  by 
bending  the  body  forward  ;  or  after  indignation. 

Platina^  for  spasms  of  the  stomach  in  females,  at  the  monthly 
period,  and  especially  when  the  menstruation  is  generally  very 
copious  and  of  too  long  duration  ;  or  after  much  grief. 

Vomiting  of  Blood. 

This  affection  may  be  preceded  by  weight,  pressure,  fulness  or  tensive 
pain  or  spasms  in  the  region  of  the  stomach  ;  griping  or  colic ;  burning  heat 
below  the  ribs  ;  anxiety,  especially  after  eating,  or  drinking,  or  on  pressure 
on  the  stomach;  impaired  appetite;  saltish  taste  in  the  mouth;  giddiness; 
cold  perspiration ;  fainting. 

The  following  medicines  may  be  found  useful,  Aconitum,  China,  Pulsatilla, 
Niix  vomica.  Ipecacuanha,  Arsenicum,  Sulphur  and  Arnica.  The  disease, 
however,  is  so  serious  in  its  character  that  it  ought  to  be  treated  by  a  phy- 
sician. Benefit  may  be  derived  from  the  application  of  dry  cups  to  the 
abdomen  and  under  the  ribs,  as  recommended  in  "  Hemorrhage  of  the  Lungs." 


CHAPTER    X. 

AFFECTIONS  OF  THE  ABDOMEN. 

Colic. 

It  may  be  excited  by  acid  fruits  and  indigestible  food ;  by  catching  cold 
from  changes  of  weather,  wet  feet,  exposure,  &c. ;  also  by  drinking  cold  water 
or  other  cold  beverages  when  heated ;  by  worms  ;  by  the  action  of  lead  on 
the  body,  as  met  with  frequently  in  painters,  plumbers,  and  other  workmen 
who  come  in  contact  with  lead;  also  in  persons  who  have  drunk  wine 
adulterated  with  metallic  poisons,  or  who  are  in  the  habit  of  using  water 
highly  impregnated  with  carbonic  acid,  which  flows  through  leaden  pipes. 
See  Part  I.," Chapters  VI.  and  VII,  on  the  treatment  of  those  injured  by 
lead  or  paints,  &c. 

It  may  be  necessary  to  consult  "  Colic"  in  Part  First,  and  also  "  Spasms 
of  the  Stomach,"  in  the  preceding  chapter. 

Chamomilla  is  suitable  for  children,  also  for  grown  persons 

20* 


222  -  TREATMENT   OF   DISEASES. 

when,  besides  the  symptoms  given  under  the  head  of  "Pain  in 
the  Bowels,"  in  Part  First,  blue  circles  appear  under  the  eyes, 
when  there  is  much  saliva  in  the  mouth,  tearing  pain  around  the 
navel,  and  a  feeling  in  the  small  of  the  back  as  if  it  were  broken  ; 
if  ChamomiUa  does  not  answer,  give  Pulsatilla.  Chamomilla  is 
also  suitable  for  wind  pent  up  in  different  parts  of  the  abdomen, 
with  a  sensation  as  if  it  were  going  to  escape  there ;  stitches  in 
the  breast;  swelling  under  the  ribs  and  in  the  pit  of  the  sto- 
mach; great  agitatioii,  uneasiness,  and  clammy  perspiration; 
rattling  and  rumbling  in  the  abdomen  ;  frequent  inclination  to 
sTool,  with  small,  slimy,  watery  evacuations;  after  violent  indig- 
nation ;  if  it  is  not  sufficient,  give  Cocculns. 

Nux  vomica,  when  there  is  constipation  or  difficult  evacua- 
tions, a  sensation  as  of  a  weight  in  the  abdomen,  with  rolling  and 
grumbling,  and  great  heat;  the  ])ains  are  pinching,  drawing, 
compressing,  as  if  the  intestines  were  pressed  by  a  stone  in  dif- 
ferent parts;  oppression  in  the  pit  of  the  stomach;  the  abdo- 
men is  painful  when  touched  and  tense;  the  breath  short  and 
dif&cult — a  general  feeling  of  distension,  the  parts  under  the 
nbs  feel  as  if  stuffed ;  during  the  most  violent  paroxysms  of 
pain,  the  hands  and  feet  are  cold  ;  sometimes  the  patient  is  de- 
prived of  consciousness;  pain  and  flatulency  deeply  seated  in 
the  abdomen  ;  a  strong  pressure  on  the  bladder  and  rectum  as 
from  a  blunt  knife;  the  pain  makes  the  patient  double  himself 
up,  and  is  worse  at  every  step.  Better  when  at  rest,  when  sit- 
ting and  lying.  Generally  attended  by  violent  headache  and 
pain  in  the  small  of  the  back.  A  number  of  these  symptoms 
are  attributed  by  ignorant  persons  to  some  obstruction,  which 
they  think  must  be  removed  by  aperient  medicines.  Eefer  also 
t'>  "  Constipation." 

i\fercnrivs,  for  violent,  twisting  colic;  the  region  around  the 
navel  is  hard;  jerking  pain  externally  of  the  abdomen,  which 
is  inflated  and  hard ;  crawling  in  the  throat,  hiccoughing,  vora- 
city, aversion  to  sweets  ;  nausea,  with  water  rising  in  the  throat, 
straining  evacuations,  secretion  of  slime,  great  debility ;  worse 
attacks  of  colic  about  midnight — if  Mercurius  does  not  quickly 


CHAP.  X.  AFFECTIONS   OF  THE   ABDOMEN".  223 

relieve  the  patient,  and  the  above  symptoms  are  attended  with 
itching  of  the  nose,  give  Oina  ;  if  this  does  not  effect  a  complete 
cure,  Sulphur.  Mercurius  is  generally  necessary  in  cases  of 
painter's  or  lead  colic. 

Pulsatilla,  when  there  is  stinging  pain  in  the  bowels,  with 
throbbing  in  the  pit  of  the  stomach,  a  disagreeable  tightness  in 
the  abdomen,  as  if  it  were  too  fall ;  growling  and  rumbling ;  the 
wind  cannot  be  got  rid  of;  irritation  and  heat  in  the  abdomen, 
which  is  inflated  ;  general  heat,  the  veins  on  the  hands  and  fore- 
head are  swelled,  the  patient  is  forced  to  take  off  his  clothes  on 
account  of  the  heat  and  tightness,  the  abdomen  is  painful  when 
touched,  as  if  bruised;  all  the  symptoms  are  worse  when  lying 
down,  somewhat  better  when  walking  about;  when  rising,  the 
small  of  the  back  aches  as  if  bruised  ;  also,  with  the  pinching, 
cutting  pains,  there  is  tearing  and  shooting  above  the  navel ; 
uneasiness,  heaviness  in  the  belly,  with  painful  tension,  when 
touched  it  aches  ;  weakness  of  the  stomach,  white,  froth}''  saliva 
in  the  mouth  ;  diarrhoea;  yellow,  gray  evacuations,  with  violent 
pains  in  the  stomach  ;  pale  face,  blue  circles  around  the  eyes; 
contractions  of  the  whole  body;  pressing,  tensive  headache. 
When  caused  by  an  overloaded  stom.ich,  first  give  coffee  without 
milk,  and  afterwards,  if  necessary,  Pulsatilla ;  if  that  does  not 
cure  the  complaint,  give  Belladonna. 

Aconitum,  in  cases  like  the  last  mentioned,  when  in  addition 
the  bladder  is  affected,  the  patient  has  violent  pains  in  the  region 
of  the  bladder,  with  a  constant  inclination  to  make  water — the 
urine,  however,  does  not  pass;  these  symptoms  are  accompanied 
by  nervousness  and  uneasiness,  and  the  abdomen  is  excessively 
sensitive.  It  should  be  given  two  or  three  times,  and  afterwards, 
if  necessary,  JShix  vomica  or  Cepa. 

Colocyntlds  is  the  principal  remedy  for  colic,  when  the  pains 
are  very  violent,  constant,  or  only  cease  for  a  short  time,  and 
then  recommence  with  greater  violence ;  when  the  most  violent 
pain  is  confined  to  a  small  spot  about  the  navel,  and  returns 
periodically  every  five  or  ten  minutes;  or  when  it  commences 
with  a  slight  drawing  pain,  tending  towards  the  centre,  which 


224:  TREATMENT   OF   DISEASES. 

increases  gradually,  and  at  last  changes  to  a  jamming,  pressing, 
or  boring  and  tearing  pain,  so  violent,  that  the  patient  cries  and 
shrieks  aloud,  twists  about  like  a  worm,  is  covered  with  perspi- 
ration, presses  the  abdomen  with  his  hands,  pushes  furiously 
against  the  bedposts  or  corners  of  the  tables,  &c.,  lies  on  his  face 
and  places  pillows  under  himself,  and  tries  every  way  to  get 
some  ease. 

Persons  who  have  previously  suflfered  from  these  attacks  for 
several  days,  or  periodically,  and  have  taken  laudanum,  which 
will  cause  the  attacks  to  return  the  sooner,  may,  when  they  feel 
the  least  symptoms  of  an  attack,  take  Colocynthis ;  it  is  also  most 
suitable  when  former  attacks  have  weakened  the  intestines,  which 
feel  as  if  every  part  were  bruised,  and  hanging  on  threads,  which 
miuht  break  at  every  step.  If  the  first  dose  does  not  give 
immediate  relief,  and  if  the  complaint  gets  worse,  give  coffee 
without  milk,  a  teaspoonful  at  a  time,  which  may  be  repeated 
as  long  as  it  alleviates  the  pain;  if  it  grows  worse  again,  give 
another  dose  of  Colocynthis^  alternating  it  with  the  coffee,  until 
the  pain  ceases.  If,  after  taking  one  dose  of  Colocynthis^  the 
pain  increases  no  longer,  but  there  is  a  slow  improvement,  dis- 
}>ense  entirely  with  the  coffee,  and  let  the  medicine  act  as  long 
as  there  is  any  improvement,  or  until  the  disease  is  cured.  The 
second  dose  is  generally  sufficient,  almost  always  the  third ;  in 
the  worst  cases,  I  never  found  it  necessary  to  give  more.  For 
any  remaining  symptoms,  give  Causticum,  once  in  the  morning 
and  once  in  the  evening. 

When  the  patient  has  taken  laudanum,  a  drug  most  injurious 
in  this  complaint,  although  very  commonly  taken,  give  coffee 
first  and  then  Colocynthis.  If  that  does  not  answer,  try  Chamo- 
milla,  and  then  again  Colocynthis.  There  are,  however,  some 
cases  of  violent  colic  which  Cplocynthis  will  not  cure,  and  m 
which  one  of  the  following  remedies  must  be  given. 

Belladbnna,  when,  during  the  pain,  a  thick,  sausage-like 
swelling  protrudes  across  the  abdomen,  and  when  bending  over, 
or  pressing  upon  it  gives  some  relief;  when  the  pain  is  griping 
and  bearing  down,  as  if  the  intestines  were  about  falling  out, 


CHAP.  X.  AFFECTIONS   OF   THE   ABDOMEN.  225 

the  symptoms  getting  worse  when  the  patient  is  up  and  walkmo- 
about ;  particularly  when  the  stools  are  thin  and  watery,  fn 
tlie  latter  case,  Ifercurius  frequently  removes  the  reraaini/ig 
symptoms.  Belladonna  suits,  generally,  when  the  face  becomes 
very  red,  the  blood  rises  into  the  head,  the  veins  are  swelled, 
and  the  pains  so  violent  that  the  patient  is  almost  distracted. 
Also,  for  pains  under  the  navel,  when  there  is  griping,  as  if 
produced  by  taking  hold  of  the  parts  with  the  finger  nails,  and 
when  accompanied  by  pains  in  the  small  of  the  back. 

Cocculus,  for  pains,  similar  to  those  described  under  Nux 
vomica,  particularly  when  there  is  a  contraction  in  the  abdomen 
with  a  downward  and  outward  pressure,  attended  with  some 
nausea;  or  when  there  is  a  large  accumulation  of  flatus  in  the 
stomach  and  intestines,  causing  great  distension  of  the  upper 
part  of  the  abdomen,  and  pain  with  rattling  in  the  stomach,  and 
pressure  under  the  ribs,  all  of  which  symptoms  disappear  as 
soon  fis  the  wind  passes  upwards. 

Cepa  for  the  most  violent  colic  either  afr,er  catching  cold,  par- 
ticularly from  wet  feet,  or  from  sour  food,  &c.,  commencing  in 
the  right  side  extending  through  the  whole  abdomen,  most  pain- 
ful in  the  left  side,  or  about  the  navel ;  getting  worse  when 
sitting ;  better  when  walking  about,  particularly  if  this  causes 
the  passing  of  foetid  flatus;  worse  after  eating  and  drinking, 
particularly  after  coffee  ;  with  much  rumbling;  pressure  on  the 
bladder,  with  urging  to  pass  water  and  to  stool. 

Ckma  is  suitable  for  flatulent  colic,  resembling  that  described 
under  Chamomilla  and  Cocculus;  but  when  the  intestines  are 
first  contracted  in  the  lower  part  of  the  abdomen,  and  press  out- 
ward with  oppressive  and  tensive  pain,  with  tension  under  the 
short  ribs,  and  agitation  ;  particularly  when  the  colic  begins  in 
the  night;  in  debilitated  persons,  or  after  profuse  sweats,  or  in 
females  who  are  nursing. 

Ignatia  frequently  relieves  colic  which  awakens  the  patient 
out  of  sleep  ;  when  there  are  shooting  pains,  which  extend  into 
the  chest  and  sides,  when  the  wind  is  discharged  with  much 
difficulty,  after  which  the  pains  moderate;  it  is  suitable  for  sen- 


226  TREATMENT   OF   DISEASES. 

sitive  females.     When  the  colic  commences  in  the  evening,  and 
the  flatulency  causes  nausea  and  vomiting,  Pulsatilla  is  better. 

Colic,  preceded  by  a  bitter  taste,  a  yellowish,  coated  tongue, 
much  thirst,  which,  as  the  saying  is,  is  caused  by  bile,  attended 
sometimes  by  vomiting,  or  bilious  evacuations,  may  generally 
be  cured  by  one  or  two  doses  of  Ghamomilla  ;  or  in  bad  cases 
by  Colocynthis,  and  when  these  remedies  do  not  suffice,  by 
Sulphur. 

Flatulency. 

Flatulency,  or  a  collection  of  wind  in  the  intestines,  often 
causes  colic,  the  remedies  for  which  have  already  been  men- 
tioned. If  the  wind  does  not  pass  at  all,  and  the  abdomen  be- 
comes swollen  as  if  it  would  burst,  give  Carbo  vegetahilis.  When 
it  does  not  cause  violent  pain,  but  heat,  uneasiness,  and  inflation 
of  the  abdomen,  which  interferes  with  the  breathing,  which  ia 
frequently  the  case  after  taking  flatulent  food,  beer,  &c.,  or  from 
drinking  water  after  eating  fat  meat,  give  China,  and  after- 
Avards,  if  required,  to  choleric  persons,  Nux  vomica;  to  quiet, 
mild-tempered  persons,  Pulsatilla,  if  China  does  not  give  relief; 
if  the  abdomen  is  swollen,  pains  worse  on  the  left  side,  also  in 
the  left  groin,  as  if  a  rupture  was  to  appear  there,  give  Cepa. 
If  it  returns  often,  give  Sulphur,  if  this  also  fails,  consult  a 
homoeopathic  practitioner. 

Inflammation  of  the  Stomach  and  Intestines. 

The  treatment  of  tin's  disease  by  domestic  remedies,  and  that  of  the  common 
phj'sicians  are  alike  injurious.  It  is  impossible  to  provide  here  for  all  cases, 
but  it  will  always  be  better  to  go  by  the  rules  here  laid  down,  than  to  resort 
to  violent  treatment.  If  a  homoeopathic  practitioner  can  be  had,  it  is  always 
better  to  consult  him. 

An  inflammation  of  this  kind  may  be  supposed  to  exist,  when  a  burning, 
sometimes  a  stinginj^  or  tearing  pain  is  felt  in  any  part  of  the  abdomen,  which 
is  very  tender  when  pressed  upon,  and  aches  at  every  motion  or  movement, 
Buch  ay  coughing,  sneezing,  laughing,  kc  The  part  is  sometimes  tight  and 
Bwollen.  when  it  is  near  the  chest,  it  produces  difficulty  of  breathing,  particu- 
larly of  inspiration  ;  it  is  mostly  accompanied  by  vomiting  or  by  eructation, 
whii-h  (/ires  no  rtliej- — also  by  constipation.  The  latter  symptom  induces 
many  persons  to  take  aperient  medicines,  which,  in  this  affection  are  abso- 
lute poisons;  the  former,  to  take  emetics  which  may  cause  death.  The 
•bdomen  should  be  left  perfectly  undisturbed  ;  the  drink  should  be  water,  and 


CHAP.  X.  AFFECTIONS   OF   THE   ABDOMEN.  227 

from  time  to  time  some  mucilas^inous  articles — nothing  else  whatever ;  the 
constipation  will  last  until  the  inflammation  is  removed.  When  the  patientg 
are  recovering,. and  begin  to  eat,  the  evacuations  will  recommence  of  their 
own  accord.  I  have  seen  most  dangerous  cases,  where  no  evacuation  of 
the  bowels  took  place  for  fifteen  days,  and  the  patient  recovered  notwith- 
standing, and  regained  his  strength  rapidly. 

Besides  the  above  symptoms,  there  are  in  some  cases  the  following ;  the 
face  is  pale,  bluish,  sunken;  there  is  violont  fever,  but  a  weak  pulse,  the 
mind  dejected  and  agitated.  When  the  disease  is  at  its  height,  the  vomiting 
and  the  pains  are  both  very  violent,  the  patient  is  exceedingly  weak ;  the 
extremities  cold,  hiccough  sets  in,  and  the  abdomen  is  finally  distended,  and 
extremely  sensitive. 

When  the  disease  attacks  the  stomach,  the  pain  is  generally  in  the  pit  of 
the  stomach,  extending  under  the  ribs  and  towards  the  back,  or  through  the 
abdomen  ;  eating  and  drinking  are  immediately  succeeded  by  vomiting  ;  with 
violent  thirst,  there  is  sometimes  an  aversion  to  water.  When  the  seat  of  the 
disease  is  in  the  inie-sfines  or  in  any  part  of  the  abdomen,  the  vomiting  does 
not  take  place  for  some  time  after  eating  or  drinking ;  the  abdomen  is  swollen 
and  tender,  the  patient  complains  of  intense  burning  heat,  in  the  whole  or 
some  part  of  it.     There  is  also  usually  great  thirst,  constipation,  &c. 

Aconitum  will  in  most  cases  be  required  at  the  commence- 
ment. It  may  be  repeated  every  hour,  until  there  is  some  im- 
provement, or  until  an  aggravation  of  the  symptoms  render  the 
selection  of  one  of  the  following  remedies  necessary : 

Ipecacuanha.,  when  the  pains  are  worse  in  the  front  part  of  the 
abdomen,  and  extend  to  the  left  side  under  the  ribs,  whence 
they  spread  along  the  ribs  towards  the  back  or  the  abdomen, 
with  swelling  in  the  region  of  the  stomach,  great  agitation,  and 
vomiting ;  if  it  proves  efficacious,  it  may  be  repeated  two  or 
three  times. 

Antimanium  crudum  will  be  preferable  to  Ipecacuanha  if  the 
tongue  is  covered  with  a  white  or  yellowish  coating. 

Pulsatilla.,  or  Nux  vomica^  if  the  disease  was  produced  by  a 
disordered  stomach. 

Bryonia,  after  Aconitum  or  Ipecacuanha,  when  the  pain  and 
fever  are  very  violent,  and  the  complaint  has  been  caused  by 
taking  cold,  particularly  by  drinking  cold  water  when  the 
patient  was  overheated ;  when  it  ceases  to  be  efficacious,  give 
Nux  vomica.  When  the  patient  seems  stupefied,  or  speaks 
unconnectedly,  or  is  not  aware  how  ill  he  is,  give  Eyoscyamus, 
and  repeat  it  several  times;  if  it  does  not  give  relief,  give  Bella- 
donna.    If  the  extremities  become  cold,  and  the  patient  is  evi- 


228  TREATMENT   OF   DISEASES. 

dently  sinking,  the  face  boconiing  very  pale,  or  otherwise  much 
altered,  give  Veratmm ;  if  this  proves  unavailing,  Arsenicum, 
which  should  rarely  be  given  more  than  twice.  After  Arseni- 
cum, Aconitum  may  in  many  cases  be  given  and  then  Arsenicum 
once  more,  giving  them  in  this  manner  alternately.  If  Arseni- 
cum makes  the  complaint  worse,  give  Nux  vomica. 

China  immediately  after  or  in  alternation  with  Aconitum, 
when  the  pain  is  worse  on  the  left  side,  under  the  ribs,  whence 
it  extends  downward,  when  there  is  generally  in  the  beginning 
vomiting  of  blood  and  violent  fever.  If  improvement  follows 
the  first  or  second  dose,  wait  until  the  symptoms  become  worse 
before  giving  it  again. 

Arnica  may  be  given  for  the  above  symptoms  if  Aconitum  and 
China  are  insufficient,  and  the  pains  are  more  of  a  pressing 
or  shooting  character,  and  render  the  breathing  difficult  and 
painful — also  when  the  pains  resemble  more  those  of  typhus 
fever — the  patient,  quite  indifferent,  dull  and  stupid,  is  insen- 
sible to  his  suffering,  and  insists  that  there  is  nothing  the  matter 
Avith  him.  Nux  vomica  may  be  given  with  advantage  after  the 
above  remedies  when  the  disease  has  continued  for  some  time, 
without  much  improvement,  and  there  is  a  dull  pressure  on  the 
stomach  with  constipation.  Bryonia,  in  cases  where  there  are 
acute  pains  in  the  stomach  and  abdomen,  increased  by  the  least 
motion  and  which  sometimes  extend  to  the  chest;  and  consti- 
pation. 

Arsenicum,  when  there  is  diarrhoea,  with  a  discharge  of  much 
blood,  without  alleviating  the  pains;  or  when  they  are  violent 
and  burning,  and  the  patient  is  very  weak;  also  when  the  dis- 
ease assumes  a  periodic  character,  is  worse  every  other  day,  this 
remedy,  or  China,  will  be  most  appropriate. 

When  the  pain  is  more  under  the  ribs,  on  the  right  side,  to- 
ward the  front,  extending  up  or  down,  give  one  of  the  following 
remedies : 

Chamomilla,  if  the  pains  are  dull,  and  not  increased  by  exter- 
nal pressure,  nor  by  motion  or  inspiration,  and  when  there  is 
pressure  on  the  stomach,  tension  under  the  ribs,  difficulty  of 


CHAP.  X.       AFFECTIONS  OF  THE  ABDOMEN.  229 

breathing,  a  yellow  tongue,  bitter  taste,  yellowisb  skin  and 
paroxysms  of  oppression  and  inquietude;  when  these  paroxysms 
become  more  frequent,  principally  during  the  night,  and  are 
attended  with  green,  slimy  diarrhoea  and  sickness  of  the  stomach, 
give  Pulsatilla ;  if,  on  the  contrary,  the  bowels  are  constipated, 
the  skin  less  yellow,  but  the  chest  more  affected,  give  Bryonia. 

Mercurius,  for  pressing  pain,  which  does  not  allow  the  patient 
to  lie  on  the  right  side,  with  bitter  taste  in  the  mouth,  more 
thirst  than  hunger,  constant  chilliness,  very  yellow  skin  and 
eyes;  sometimes  it  may  be  alternated  with  Belladonna,  or,  in 
critical  cases,  with  Lachcsis, 

Belladonna,  for  pressing  pains  which  extend  to  the  chest  and 
shoulders;  when  the  pit  of  the  stomach  is  swollen,  with  tension 
above  the  navel  and  across  the  abdomen  ;  difficulty  of  breathing 
and  nervousness,  attended  by  determination  of  blood  to  the 
head,  with  dimness  before  the  eyes,  and  giddiness  almost  to 
fainting,  frequently  accompanied  by  violent  thirst,  uneasy  tossing 
about,  and  sleeplessness.  If  no  improvement  follow  its  use 
during  twenty-four  hours,  give  Lachesis,  and  repeat  it  as  often 
as  the  complaint  gets  worse  ;  when  Lachesis  ceases  to  act  favor- 
ably, give  Belladonna  again,  or  select  another  remedy. 

Nux  vomica,  for  acute  pain,  sometimes  attended  with  throb- 
bing and  stitches,  the  part  affected  being  very  sensitive  to  the 
touch;  sour  or  bitter  taste ;  nausea  or  vomiting;  oppression  and 
shortness  of  breath,  as  if  the  clothes  were  too  tight,  while  the 
removal  of  them  rather  aggravates  the  sensation  than  otherwise; 
thirst,  red  urine,  oppressive  headache. 

Sulphur  may  be  given  after  Nux  vomica,  if  there  should  be 
but  little  or  no  improvement  from  the  latter — and  the  stinging 
pains  continue.  And  also  after  the  other  remedies  recommended 
when  they  afford  no  immediate,  or  only  partial  relief.  If  the 
disease  is  worse  every  other  day,  give  China,  as  prescribed  for 
pains  in  the  left  side. 

When  the  pain  is  more  in.  the  abdomen,  in  the  middle  or 
lower  ])art;  and  is  aggravated  by  motion  or  pressure,  and  the 
most  painful  part  is  swollen,  give  Aconitura.     If  this  gives  no 

^       21 


230  TREATMENT   OF   DISEASES. 

relief,  and  the  ubdomen  continues  to  be  sore  when  touched,  give 
Lachesis,  to  be  repeated  an  hour  after ;  if  two  doses  fail,  give 
Belladonna.  In  some  cases,  Hyoscyamus^  Bryonia^  Nux  vomica, 
Arsenicum,  and  sometimes  Mercurius  may  do  good — the  latter 
particularly  after  Lachesis.  Eefer  to  what  has  been  previously 
said  of  these  medicines  in  this  chapter. 

All  aperients  ought  to  be  carefully  avoided  in  this  complaint, 
though  it  is  mostly  attended  by  obstinate  constipation — the  less 
this  is  interfered  with  the  sooner  will  the  patient  be  restored  to 
perfect  health  ;  if  he  takes  cathartics  or  emetics,  he  may  die  in 
consequence,  or  they  maj^  produce  a  tedious  malady  which  is 
difficult  to  cure.  In  this  complaint  it  is,  therefore,  a  good  sign 
when  the  bowels  are  constipated,  and  a  very  bad  sign  when  the 
evacuations  become  thin,  and  still  worse  when  they  pass  invol- 
untarily. Even  in  this  dangerous  stage  of  the  disease,  Hyoscya- 
mus  may  sometimes  save  the  patient.  After  two  or  three  doses, 
if  he  does  not  grow  decidedly  worse,  give  no  more,  and  await 
the  result. 

Children  are  frequently  subject  to  attacks  of  this  kind  ;  when 
the  pit  of  the  stomach  and  the  parts  under  the  ribs  become  dis- 
tended by  pain  in  the  abdomen,  give  Mercurius  or  Chamomilla. 
See  also  "  Diseases  of  Children." 

Determination  of  Blood  to  the  Abdomen. 

This  affection  consists  of  a  troublesome  sensation  of  heat  and 
burning  in  the  stomach,  attended  with  hardness,  tension,  dull 
pain,  and  symptoms  as  if  arising  from  a  surfeit,  without  any  ex- 
cess having  been  committed.  Hypochondriacs,  persons  who  are 
of  sedentary  habits,  or  those  who  have  the  piles,  are  most  liable 
to  it.  The  principal  remedy  is  Sulphur.  If,  however,  it  is 
accompanied  by  pains  in  the  small  of  the  back,  with  a  feeling 
of  great  weakness  in  that  region,  rendering  it  almost  impossible 
to  walk,  Nux  vomica  will  be  preferable.  If  accompanied  by 
diarrhoea  with  small,  soft,  slimy  or  watery  evacuations.  Capsi- 
cum should  be  given :  or  if  attended  with  diarrhoea  and  great 
prostration  of  strength,  Arsenicum.     In  addition  to  the  above, 


CHAP.  X.  AFFECTIONS   OF   THE   ABDOMEN.  231 

the  following  remedies  may  be  serviceable : — Belladonna,  Vera- 
trum,  Pulsatilla^  Bryonia^  Chamomilla,  Bhus.     See  also  "  Piles." 

Worms. 

Many  complaints  are  ascribed  to  worms  which  arise  from  very  different 
causes.  When  children  have  been  fed  upon  pap,  cakes,  and  similar  articles 
of  a  hurtful  nature,  or  when  the  mother,  whilst  nursing,  overloads  her  stomach 
with  meat,  fish,  salted  and  fat  things,  particularly  with  pies  the  children  must 
necessarily  become  sick  in  consequence,  or  a  predisposition  to  sickness  be 
inducted.  When,  besides  this,  the  children  are  dosed  with  vermifuges,  injec- 
tions, purgatives,  <fec.,  the  worms  cannot  fail  to  prosper  and  increase. 

W'hen  children  are  supposed  to  have  worms,  the  first  thing  to  be  looked  to, 
is  a  rational  mode  of  living,  by  which  means  the  worms  will  soon  diminish, 
and  if  symptoms  of  the  complaint  remain,  the  remedies  will  afterwards  prove 
the  more  effective.  Most  persons  are  by  far  too  much  afraid  of  these  little 
animals,  which  are  not  nearly  so  noxious  as  the  remedies  usually  prescribed  for 
them,  and  particularly  as  the  nostrums  puffed  in  the  newspapers.  Simple 
persons  believe  in  these  things,  and  pay  for  the  trash,  when,  if  they  knew  what 
they  or  their  children  were  swallowing,  they  would  rather  pay  twice  as  much 
to  keep  it  out  of  the  house,  to  say  nothing  of  their  bodies. 

It  is  true,  these  things  sometimes  kill  the  worms,  but  too  frequently  they 
kill  the  children  also,  or  affect  the  abdomen  in  such  a  manner  that  the  conse- 
quences appear  many  years  after.  First,  it  is  to  be  considered  that  almost 
all  children  have  worms,  sometimes  before  they  are  born,  and  that  it  is  fre- 
quently a  sign  of  a  dangerous  disease  when  these  worms  pass  off  spontaneously ; 
secondly,  that  what  these  worms  subsist  upon  in  the  body  is  more  hurtful  *han 
the  worms  themselves.  Almost  ail  the  symptoms  attributed  to  worms  may 
arise  from  some  general  disease  in  the  system,  which  has  a  tendency  to  in- 
crease tiiem,  especially  if  aided  by  an  unwise  mode  of  living.  When  the 
worms  have  become  very  numerous  they  give  rise  to  various  complaints, 
which,  joined  to  the  symptoms  of  the  original  malady,  sometimes  become  dan- 
gerous. When  the  worms  are  expelled,  the  symptoms  which  they  gave  rise 
to,  of  course  disappear  but  the  real  disease  may  increase. 

Sometimes  diseases  subsequently  make  their  appearance  which  are  worse 
than  the  first,  although  slower  in  their  operation,  and  perhaps  not  manifesting 
themselves  until  the  tenth  or  twelfth  year.  Expelling  the  worms  is  of  no 
essential  use.  The  remedies  here  prescribed  will  frequently  cure  the  disea.se 
itself,  and  if  there  are  really  too  many  worms,  which  is  but  rarely  the  case, 
will  remove  them  also.  Children  who  have  worms  should  have  enough  to  eat, 
but  not  too  much  bread,  very  little  salt,  and  few  or  no  cakes  or  pies,  but  in 
preference  a  good  deal  of  ripe,  cooked  or  dried  fruits,  and  in  particular,  carrots. 

Wlieti  you  are  not  certain  of  the  existence  of  worms,  and  tlie 
child  becomes  emaciated,  and  vomits  frequently,  give  first  Ipe- 
cacuanha; but  when  the  tongue  is  coated,  Carho  vegetahilis ;  if 
this  has  no  effect,  Pulsatilla;  if  the  child  has  been  much  trou- 
bled with  diarrhoea,  or  has  taken  much  aperient  medicine,  givu 
China;  when  the  bowels  are  constipated,  Nux  vomica. 


232  TREATMENT   OF   DISEASES. 

When  the  child  passes  worms  occasionally,  picks  its  nose 
much,  and  the  belly  is  distended,  give  Gina,  which  is  one  of  the 
chief  remedies  for  all  complaints  really  arising  from  worms. 

For  colic,  caused  by  worms,  with  frequent  inclination  to 
vomit,  when  much  water  collects  in  the  mouth,  and  the  parts 
around  the  navel  are  hard,  also  when  the  whole  abdomen  is  hard 
aud  distended,  with  frequent  ineffectual  straining  to  evacuate,  or 
secretion  of  nothing  but  slime,  give  first  Aconitum,,  some  hours 
later,  Cina;  and  if  this  is  not  sufficient,  i/ercwnws  or  Silicea.  In 
all  complaints  caused  by  Ayorms,  Aconihira  is  of  great  use  in  the 
be.^'iiining,  and  if  this  and  the  other  remedies  mentioned  above 
do  not  remove  them,  Sulphur  should  be  given,  and  will  be  found 
to  be  of  great  value,  particularly  after  Mercurius.  These  reme- 
dies will  g'merally  effect  a  cure.  In  rare  cases,  attended  with 
much  thiist,  sudden  starting  and  fright,  Belladonna  or  Hyoscya- 
runs  may  be  required.  In  very  bad  cases  it  may  also  be  neces- 
sary to  give  a  dose  or  two  of  Lachesis. 

Persons  troubled  with  tape  worm,  discharge  joints  of  this 
worm  from  time  to  time;  these  pieces  are  nearly  square,  quite 
flat,  about  as  broad  as  the  little  finger.  There  is  no  sure  sign 
of  the  existence  of  tape  worms,  except  there  is  a  discharge  of 
pieces  of  this  description,  which  generally  pass  away  about  the 
new  and  full  moon. 

Tape  worms  may  frequently  be  destroyed  by  taking,  when  the 
moon  is  waning,  two  mornings  successively,  a  dose  of  Sulphur^ 
and  at  the  next  full  moon,  Mercurius,  in  the  same  way,  and  eight 
days  after,  Sulphur  again  twice ;  repeat  these  remedies  in  the 
same  order  several  times.  Sometimes  the  tape  worm  is  dis- 
charged after  taking  a  few  doses  of  Oalcarea.  Cuprum  has  also 
been  found  by  some  very  effectual  in  removing  the  tape-worm. 
If  this  treatment  does  not  effect  a  cure,  apply  to  a  homoeopathic 
physician. 

For  ascarides,  the  small  worms  which  are  found  in  the  anus, 
•"*>^  ''  Itching  of  the  Anus." 


CHAP.  X.  A.FFECTIONS   OF   THE   ABDOMEN.  233 

Itching  of  the  Anus. 

This  troublesome  affection  may  generally  be  cured  by  one  or 
more  of  the  following  remedies  : 

Nux  vomica  will  be  applicable  when  the  itching  is  seated  either 
internally  or  externally,  is  worse  when  sitting  or  moving,  and 
also  after  taking  stimulating  food  and  drinks,  and  is  accompanied 
with  pains,  or  dry  piles,  or  moist  and  bleeding  piles,  or  costive- 
ness ;  also  when  caused  by  strong  liquors,  beer  or  coffee ;  or  in 
people  who  lead  a  sedentary  life ;  in  pregnant  females ;  when 
caused  by  little  worms,  wuich  may  be  discovered  moving  about 
in  the  spiiincter  ani,  upon  drawing  it  apart, 

Aconilum,  if  the  itching  arises  fiom  small  worms,  and  Nux 
vomica  is  iuefiicient,  and  children  are  very  uneasy  during  the 
night,  and  have  fever.  It  should  be  given  in  the  evening,  or 
during  the  night,  and  if  ineffectual,  followed  by  Ignatia  in  the 
morning.  If  ihe  children  are  again  troubled  in  this  way,  par- 
ticularly after  every  full  and  new  moon,  give,  when  the  moon  is 
full,  Suljjhur^  -dnd. Silicea  when  it  is  new.  A  dose  may  be  given 
every  morning  for  a  week.  If  the  complaint  should  return  at 
the  next  full  moon,  give  Galcarea  in  the  same  manner  as  Sulphur 
is  directed  to  be  given.  Let  the  children  eat  no  pork,  very  little 
salt,  and  as  little  pastry  and  cakes  as  possible.  If  there  should 
be  no  relief,  notwithstanding  the  use  of  the  above  medicines, 
give  Ferruvi  every  other  morning  ;  if  tliarrhoea  makes  its  appear- 
ance, dispense  with  the  medicine,  and  if  the  diarrhoea  still  con- 
tinues, give  China. 

While  children  are  taking  the  above  remedies  {Sulphur,  Cal- 
carta,  Silicea  and  Ferrum),  nothing  else  is  to  be  given,  unless  it 
be  a  dose  or  two  of  Aconitum,  to  remove  any  febrile  symptoms 
that  may  arise. 

Cina  is  useful  when  there  is  feverishness  at  night,  with  moan- 
ing and  grinding  of  the  teeth  when  asleep,  boring  with  the  fin- 
gers  in  the  nose,  or  picking  the  lips,  much  itching  at  the  funda- 
ment and  great  desire  for  salt ;  particularly  when  the  cliild  is 
fretful  and  irritable,  with  uncertain  appetite  and  white  tongue. 

21* 


234  TREATMENT   OF   DISEASES. 

The  itching  may  be  allayed  by  rubbing  the  parts  with  sweet  oil,  or  liy 
introducing  a  piece  of  bacon^  about  the  size  of  a  finger,  attached  to  a  string, 
into  the  anus  ;  allowing  it  to  remain  there  for  ten  or  fifteen  minutes,  and  then 
removing  it. 

Injections  of  cold  water  every  evening  are  also  serviceable  in  many  cases. 
Applications  of  this  kind  do  not  disturb  the  operation  of  the  remedies.  When, 
however,  all  these  means  prove  abortive,  which  may  be  the  case  with  some 
children.'  in  whom  it  is  hereditary,  try  small  injections  of  salt  water,  and  if 
these  fail,  or  cause  diarrhoia,  weak  injections  of  water  and  vinegar.  Lemon 
juice  has  often  proved  efficacious  in  allaying  the  itching,  by  applying  it  once 
or  twice  a  dav.  Eating  asparagus,  when  this  plant  is  in  season,  which  is  the 
time  that  the  worms  are  usually  most  troublesome,  has  also  been  found 
advantageous. 

When  the  itching  is  caused  by  piles,  swollen,  red  or  bluish 
tumors  in  the  anus,  give  the  following  remedies : 

Mux  vomica  if,  besides  the  itching,  there  is  a  burning  and 
pricking  sensation,  the  anus  so  contracted  that  the  natural  dis- 
charges are  effected  with  much  difficulty,  accompanied  by  dull 
shooting  pains  and  jerking  in  the  small  of  the  back  and  around 
the  anus  at  every  evacuation;  or  pain  in  the  small  of  the  back 
as  from  a  bruise,  which  makes  the  patient  cry  out,  and  bend 
forward  when  walking  or  sitting.  Sometimes  Ignatia  will  be 
better,  according  to  the  temperament  of  the  patient.  (Compare 
Headache,  (fcc.) 

Sulphur  when,  in  addition  to  the  itching,  there  is  burning, 
paiu  and  soreness  in  and  around  the  anus,  with  stitches ;  the 
tumors  are  moist;  with  a  sensation  of  fulness  and  heaviness,  and 
sometimes  protrusion  (prolapsus)  of  the  anus  ;  constant  straining 
to  evacuate,  or  thin  diarrhoea  mixed  with  blood,  with  violent 
stinging  pains  in  the  small  of  the  back ;  stiffness  in  the  small 
of  the  buclc,  or  feeling  of  contraction,  If  this  does  not  effect  a 
cure,  give  Aconitum,  and  should  that  also  fail,  let  the  patient 
smell  camphor. 

Apium  vims  for  the  worst  kind  of  itching  of  the  piles,  foi 
piercing,  burning  and  soreness. 

Prolapsus  Ani.    Prolapsus  of  the  Rectum. 

This  is  a  protruding  or  turning  inside  out  of  the  large  intestine;  it  occurs 
either  every  time  the  bowels  are  moved,  or  only  when  that  is  preceded  or 
accompanied  by  much  straining,  or  it  takes  place  in  sitting  or  walking.  The 
iutestiue  returns  to  its  natural  place  when  quietly  lying  down  or  it  can  be  re* 


CHAP.  X.  AFFECTIONS   OF   THE   ABDOMEN.  235 

turned  by  the  hand.  To  return  the  prolapsus,  place  the  patient  on  his  knees, 
draw  the  parts  apart  and  put  wet  rags  on  the  protruding  intestine.  If  cold 
water  pains,  use  warm  water.  If  it  does  not  now  return  by  itself,  take  a  very 
soft  sponge,  wrap  it  in  a  soft  cloth,  wet  it,  and  press  it  on  the  protruding  part 
slowly  and  steadily.  Be  not  in  a  hurry  and  be  sure  to  make  the  pressure  ia 
the  right  direction.  A  very  slow  movement  takes  place  in  the  intestine, 
alternately  from  upwards  down  and  from  downwards  up,  and  only  during  the 
latter  motion  will  it  return.  If  it  has  not  returned  after  about  ten  minutes 
and  is  cool  and  flabby,  try  to  push  it  back  with  your  fingers,  which  must  be 
previously  oiled  or  greased,  and  have  no  long  or  sharp  nails.  If  it  becomes 
red,  swollen  and  inflamed  do  not  tiy  to  return  it,  but  put  upon  it  rags  dipped 
in  cold  water  and  give  the  following  medicines:  to  children,  particularly  when 
cutting  teeth,  who  cry  much  and  strain  hard  :  hpialin  or  Nux  vomira  accord- 
ing to  their  dispositions.  If  the  intestine  is  much  swollen,  or  is  bluish-red, 
or  bleeds  and  pains  much  when  at  stool,  Mercurius,  the  next  day  hjnatia;  if 
it  remains  after  dysentery,  Ruta ;  if  it  protrudes  when  walking  and  looks 
bluish-red.  Arnica ;  for  whitish-red  swelling  around  the  anus  with  much  jerk- 
ing, Apiuin  virus.     In  chronic  cases  in  children  Calcarea  is  preferable. 

Hemorrhoids,  or  Piles. 

This  is  a  disease  which  consists  principally  in  the  discharge  of  small  quan- 
tities of  blood  at  the  anus  every  four  or  six  weeks,  preceded  by  more  or  less 
indisposition,  and  followed  by  a  feeling  of  great  relief.  Very  often  other  and 
more  dangerous  diseases  are  prevented  by  this  complaint. 

Frequently  the  symptoms  which  precede  the  discharge,  are  very  trouble- 
some. Sometimes  the  discharge  ceases  in  part  or  entirely,  at  others  again 
BO  much  blood  is  discharged  that  it  becomes  alarming;  tumors  are  frequently 
formed  in  the  anus,  which  become  very  painful,  particularly  when  no  blood 
is  discharged. 

Not  unfrequently  after  a  sudden  suppression  of  piles  a  disease  of  a  more 
dangerous  character  appears  in  their  stead  For  all  these  symptoms,  medi- 
cines should  be  taken,  and  the  manner  of  living  be  such  as  to  prevent  the 
disease  from  assuming  a  more  malignant  character.  The  patient  should  not 
Bit  much,  particularly  not  on  very  soft  cushions,  except  during  the  time  the 
tumors  protrude.  He  must  avoid  all  ardent  spirits,  strong  beer  and  coffee ; 
drink  water  freely,  and  take  plenty  of  exercise. 

The  doctors  of  the  old  school,  not  knowing  how  to  cure  piles,  have  thought 
it  best  to  cut  them  off.  This  is  not  a  very  difBcult  operation,  and  any  one 
can  perform  it  who  has  the  proper  scissors ;  nor  is  the  pain  very  acute — but 
it  is  very  unwise,  and  frequently  attended  by  dangerous  consequences.  Some- 
times the  bleeding  consequent  upon  it  can  only  be  stopped  by  cauterizing  the 
parts  or  by  using  creosote,  which  latter  may  cause  incurable  ulcers. 

At  all  events,  cutting  off  the  tumors  is  of  no  use  but  to  suspend  the  pain 
for  awhile,  as  they  almost  always  reappear  in  a  short  time  higher  up  in  the 
rectum,  where  the  pain  is,  of  course,  more  violent,  and  where  it  is  more  difB- 
cult to'  cut  them,  in  attempting  which,  the  rectum  is  frequently  incurably 
injured ;  if  the  operation  is  repeated,  they  grow  still  higher  up,  and  then  these 
operators  are  at  a  loss.  ,  r*.  x    u-    p  * 

The  patient  is  in  a  worse  condition  than  at  first,  and  is  then  left  to  his  tate. 
The  homoeopathic  practitioners,  on  the  other  hand,  possess  medicines  by  which 
they  cure  these  tumors  without  cutting  at  all  ;  but  the  more  frequent  the 
patient  has  been  operated  on,  the  more  difficult  it  is  to  cure  him,  as  thfl 
disease  has  th  n-eby  become  much  more  obstinate. 


236 


TREATMENT   OF   DISEASES. 


Wasliins?  llio  parts  with  cold  wixtor,  ami  injections  of  half  a  pint  of  cold 
water,  once  or  twice  a  day,  are  beneticial  when  the  piles  do  not-  bleed  ;  when 
thev  bleed,  these  means  should  not  be  resorted  to,  as  they  may  suppress  the 
discharije.  When  they  bleed  too  copionsly,  the  water  may,  perhaps,  be 
ap|)lied?  without,  iiowever.  ne-jflectinp:  to  tal<e  the  medicines  recommended. 

Great  care  must  be  taken  also  in  givinu"  the  injections;  the  water  must  not 
be  too  cold,  the  i>oint  of  the  syriiifje  should  be  of  wood,  ivory,  bone  or  vulcan- 
ized India  rubber,  not  too  thin,  and  widenina:  towards  the  end,  which  ought  to 
be  nearly  as  thick  as  the  point  of  the  little  finger;  before  introducing  it,  it 
should  be  first  covered  with  fresh  sweet  oil,  or  with  beef  or  mutton  suet;  in- 
troducc  the  pipe  by  slowly  and  gently  turning  it,  then  press  the  piston  with 
one  hand,  while,  with  the  other,  you  hold  the  syringe  near  the  point,  to  pre- 
vent it  entering  further  info  the  anus. 

The  cut  represents  the  nozzle  in  natural  size. 
"^  a.  The  opening  ;  it  must  be  perfectly  smooth,     h.  Screw  to 

/^  ^^  fit  into  a  flexible  tube.     (7.  Fart  around  which  the  anus  closes. 

/     i  i      \  Between  the  nozzle  and  the  body  of  the  syringe  there  should 

be  a  flexible  i)iece.    It  is  much  better  to  use  instead  of  syringes, 
which  have  done  a  great  deal  of  injury,  a  piece  of  hose  of  india- 
rubber  or  other  water-proof  material,  wider  at  the  upper  end, 
'        about  three  feet  long;  this  must  have  at  the  upper  end  a  loop, 
and  at  the  other  end  fasten  to  it  a  piece  of  wood,  bone,  &c., 
with  a  screw  for  the  nozzle  to  fit  in.     To  use  it,  screw  in  the 
nozzle,  hang  the  hose  to  a  nail  by  the  loop,  close  the  point  of 
the  nozzle  with  the  right  hand  and  fill  the  hose  with  the   left 
j!    one,  fix  the  loop  over  one  of  the  fingers  of  the  left  hand,  lower 
the  ujtper  end  of  the  hose  without  spilling  its  contents,  intro- 
duce the  nozzle  carefully,  elevate  the  upper  end  and  the  water 
will  flow  in  by  its  own  gravity.     By  taking  a  longer  hose  and 
refilling  it  you  can  introduce  as  much  water  and  with  as  much 
I  .:   \  pressure  as  required. 

/   i  ;    \  "When  the  tumors  on  the  anus  are  too  painful  to  allow  of 

/    ; !     \        injections,  apply  a  sponge  which  has  been  dipped  in  cold  water. 

/  V   '  :.■-<-'        Moistening  the  tumors  with  saliva  is  very  useful,  but  this  must 

f::z:^-t  not  be  done  immediately  after  meals,  nor  after  smoking  to- 

*=•*-•='  bacco  ;  persons  who  chew  tobacco,  or  who  have  ulcers  in   the 

u  month  should   not  try  it.     When  the  tumors  do  not  bleed  at 

all,  and  are  very  painful,  and  when  they  get  worse  again  in  a 

Bhort  time  after  a]>i»lying  cold  water,  put  some   boiling  water,  or  water  ia 

which  wheat  bran  is  boiled,  into  a  close  stool-pan.  and   sit  over  the  steam. 

Sometimes  mucilaginous   substances  are  useful,  particularly  an  emulsion  of 

quinces,  made  of  quince-seed  soaked  in  water. 

The  following  medicines  are,  however,  chiefly  to  be  depended  upon.  AVhea 
there  is  intense  itching  in  the  anus,  see  under  "Itching  in  the  Anus."  If  the 
piles  are  accompanied  by  colicky  pains,  give  the  remedies  recommended  for 
"Colic,"  among  which  the  principal  are  J'ulsafilla,  Xiix  vmnica  and  Colori/ii- 
thi^.  PiilsiitiUii  mostly  for  females  ;  Knx  vomica  more  frequently  for  persons 
who  drink  ardent  spirits  and  are  of  sedentary  habits;  Coloci/ut/iis,  when  the 
pain  is  very  severe.    Refer  also  to  "  Determination  of  Blood  to  the  Abdomen." 

Aconitum  frequently  gives  relief  when  blood  is  discharged, 
and  there  tiro  shooting  pains  and  pressure  on  the  anus,  the  ab- 


CHAP.  X.  AFFECTIONS   OF   THE   ABDOMEN.  237 

dorncn   feels  too  full,  with  tension,   pressure  and  gripin:^-;  the 
small  of  the  back  feels  ;is  if  brok-en  or  bruis.Hl. 

Nux  vomica  when  there  is  a  bni-ning,  ))ricking  pain  in  the 
tumors,  the  symptoms  resembling  tlioso  mentioned  under  "Iteh- 
ing  of  the  Anus  ;"  whei>  there  is  mueh  liglit  colored  blood  dis- 
charged after  each  evacuation,  or  when  there  is  a  constant 
disposition  to  evacuate;  also  in  constipation,  and  during  preo-- 
nancy.  If  it  does  not  suffice,  give  Ignatia,  and  afterwards,  if  the 
complaint  returns  again,  Salj)Jmr. 

Apium  virus  for  small,  very  painful,  stinging,  biting,  or  itch- 
ing tumors,  or  larger  ones  with  burning  and  soreness;  or  swell- 
ing of  the  whole  anus  with  beating,  heat  and  fulness  there; 
particularly  if  a  dark  bloody  fluid  exudes ;  suitable  for  irritable, 
restless,  dejected  persons. 

Pulsatilla,  when  blood  and  mucus  nre  discharged  with  tlie 
faeces,  with  painful  pressure  on  the  tumors;  pains  in  the  back, 
pale  countenance,  (lis])osition  to  faint.  If  it  is  insuflieient,  Mer- 
curius,  and  afterwards  Sulphur,  sometimes  answer  in  these  cases. 

Capsicum  answers  best  when  the  tumors  are  much  swollen, 
the  blood  discharged  with  burning  pains,  and  mixed  with 
slime;  also  when  there  is  a  drawing  pain  in  tlie  back,  particu- 
larly in  tlie  small  of  the  back,  and  cutting  pains  in  the  bowels. 

Ignatia,  against  violent  stitches  which  pass  upwards,  with 
itching  and  crawling  in  the  anus,  when  much  blood  is  dis- 
charged, or  the  rectum  protrudes  considei'ably  at  each  evacua- 
tion;  or  when  after  an  evacuation  there  is  painful  soreness  and 
contraction,  particularly  when  accompanied  by  ineffectual  strain- 
ing to  evacuate,  or  a  discharge  of  blood  and  mucus, 

Ohamomilla  is  most  appropriate  when  the  blood  flows  freely, 
with  contracting  pains  in  the  abdomen,  frequent  strainiiig  to 
evacuate;  occasional  diarrhoea,  particularly  when  attended  with 
smarting  and  burning,  with  tearing  pain  in  the  back,  especially 
at  night. 

Antimonivm  crudum  is  frequently  of  service  when  mucus  ia 
discharged  from  the  anus,  which  stains  the  linen  ;  in  some  casei 
it  may  be  given  alternately  with  Puhatilla ;    when  with  the 


238  TREATMENT   OF   DISEASES. 

discharge  of  mucus  there  is  burning  pain,  Carlo  vegetahilis  ia 
still  better,  particularly  when  accompanied  by  bleeding  of  the 
nose,  and  great  determination  of  blood  towards  the  head. 

Carlo  vegetalilis,  for  the  symptoms  mentioned  above — dis- 
charge of  mucus  with  burning  pains;  bleeding  of  the  nose; 
congestion  of  the  head,  &c.,  especially  in  patients  who  are  very 
weak;  if  it  proves  insufficient,  it  should  be  followed  by  Arseni- 
cum,  or  these  remedies  may  be  given  alternately. 

Sulphur  is  one  of  the  principal  remedies  as  well  for  bleeding 
as  for  blind  piles;  it  is  particularly  suitable  when  there  is  con- 
stant ineffectual  inclination  to  stool,  or  thin  evacuations  mixed 
with  blood;  when  there  is  an  acute,  sore  pain  in  the  anus,  inter- 
nally and  externally;  when  the  tumors  burn,  are  moist,  pro- 
trude considerably,  and  can  scarcely  be  replaced  ;  with  violent 
shooting  pains  in  the  back,  and  in  the  small  of  the  back  ;  stiff"nes3 
in  the  small  <if  the  back,  with  a  feeling  of  contraction  ;  also,  with 
smarting  pain  on  passing  water. 

To  persons  who  have  taken  much  sulphur  or  Haarlem  oil,  by 
which  many  patients,  suffering  in  this  way,  injure  themselves, 
give  first,  Mercurius,  and  after  five  or  six  days,  Sulphur  ;  but  if 
much  calomel  and  sulphur  have  been  taken,  give  Lachesis  once 
or  twice ;  and  if  the  symptoms  get  worse  again,  Mercurius,  and 
afterwards  Sulphur. 

Belladonna,  against  bleeding  piles,  with  intense  pain  in  the 
^small  of  the  back,  as  if  it  were  breaking ;  if  it  proves  insufficient, 
give  Hepar,  and  if  this  does  not  effect  a  complete  cure,  four  or 
five  days  later,  Rhus. 

When  the  discharge  is  excessive,  take  Aconitum\  if  this  does 
not  stop  it,  do  not  wait  long,  but  give  Ipecacuanha;  and  if 
this  is  insufficient  in  ten  or  fifteen  minutes,  give  Sulphur;  and 
tlien  again  Aconitum ;  if  it  does  not  then  stop,  give  Belladonna 
and  afu-rwards  Calcarea.  When  after  any  one  of  these  medi- 
cines the  discharge  abates  somewhat,  take  nothing  more  unless 
it  grows  worse;  then  take  the  same  medicine  again,  and  when 
this  loses  its  effect,  take  another.  If  the  patient  is  very  weak, 
let  him  take  China  in  the  interval. 


CHAP.  X.       AFFECTIONS  OF  THE  ABDOMEN.  239 

The  above  rem(>clies  are  only  for  cases  of  exigency,  though 
sometimes  they  wUl  ladically  cure  this  tedious  complaint;  if 
they  do  not,  apply  to  a  homoeopathic  practitioner,  or  send  him 
an  exact  description  of  all  the  symptoms  present. 

Diarrhoea. 

This  complaint  frojuently  arises  from  causes  pointed  out  in  the  first  part 
of  this  work — for  im  lance,  from  sudden  frigid,  from  fear,  from  vexation,  from 
taking  cold,  from  hnat,  from  a  disordered  stonn.c/i,  or  after  burns  or  .scalds: 

Most  persons  are  to  this  day  impressed  with  the  erroneous  idea  that  diar- 
rhcEa  is  a  cleansing  necessary  for  the  recovery  of  the  patient.  It  is  true, 
that  some  diseasra  terminate  in  a  diarrhoea,  but  it  is  also  true  that  diarrhoea 
is  the  commencement  of  other  diseases,  and  must  always  be  considered  a 
morbid  state  of  the  functions. 

The  deceptive  sensation  of  relief  and  lightness  after  purging  or  artificial 
diarrhoea,  is,  by  many  persons,  looked  upon  as  healthy  and  necessary,  merely 
because  they  have  previously  been  in  a  different  and  opposite  state  of  disease. 
Thus  many  consider  the  excitement  consequent  upon  drinking  brandy  or 
strong  beer  as  healthy,  because  they  feel  uncomfortable  without  it,  v.'hereas 
they  are,  in  icality,  in  a  more  unhealthy  condition,  whilst  they  imagine  them- 
selves better. 

Persons  who  thin^  that  they  cannot  remain  in  good  nealth  without  aperient 
medicines  or  artific.al  diarrhoea,  should,  when  they  feel  constipated,  try  first 
the  medicines  point  ed  out  under  constipation,  and  they  will  find  that  the  latter 
freo'iently  cure  wicLiout  causing  any  diarrhoea.  Those  who  have  a  natural  or 
artificial  diarrhoea,  however,  should  not  stop  it  by  artificial  means,  such  aa 
wine,  brandy,  and  the  like,  but  should  let  it  take  its  course,  and  use  those 
medicines  which  will  effect  a  cure  in  a  natural  manner.  Astringents  are  not 
always  dangerous,  but  are  very  frequently  so,  particularly  to  children  and 
aged  persons,  or  to  individuals  who  are  suffering  from  another  complaint. 

When  the  consequences  of  suppressed  diarrhea  make  their  appearance, 
they  are  called  Jyspepsia,  liver  complaint,  &c.,  and  the  worst  uf  it  is,  that  they 
cannot  be  so  oasily  removed.  To  believe,  however,  that  suppressing  the 
diarrhoea  is  only  dangerous  because  it  prevents  impurities  from  escaping,  is 
also  a  niistak'Sn  idea.  Suppressing  a  diarrhoea  is  dangerous,  because  it  is 
changing  one  disease  into  another — and  because  we  cannot  know  what  that 
second  diseai^r;  will  be  ;  generally,  it  is  a  worse  one.  Most  of  these  impurities 
exist  only  in  the  imagination  ;  as  to  the  artificial  production  of  such  impurities, 
refer  to  what  is  said  under"  Constipation."  If,  however,  there  are  real  impu- 
rities in  the  body,  they  will  be  discharged  much  sooner  with  the  natural  exer- 
tions than  luring  a  diarrhoea,  which,  in  fact,  always  leaves  impurities  behind, 
and  which  the  natural  exertions  afterwards  have  to  carry  ofl".  When  the 
evacuatxon  is  hard,  nothing  can  remain  in  the  intestines  ;  a  fact  so  evident 
that  every  one  can  understand  it.  'Jlie  intestines  are  a  tube,  which  is  first 
narrow  and  widens  gradually.  It  is  not  like  the  hose  of  a  fire  engine,  where 
it  is  necessary  to  apply  pressure  at  one  end  in  order  to  force  out  the  contents 
at  the  other;  it  is  not  a  dead  tube  but  a  living  one,  which  is  in  constant 
ac*.ivity ;  this  activity,  when  regular,  allows  nothing  to  remain  in  it — only 
when  it  is  irregular,  or  when  it  ceases,  can  this  be  the  case.  In  diarrhcea, 
particularly  when  produced  by  aperient  medicines,  this  action  is  very  irregular 
and  hurried,  in  the  attempt  to  rid  the  body  of  the  poisonous   purgatives— 


240  TREATMENT   OF   DISEASES. 

which,  when  accomplished,  leaves  the  intestines,  of  course,  very  weak  and 
relaxed.  If  the  purirative  was  no  poison,  it  would  not  purge  at  all,  for  only 
those  things  will  purge,  which  the  body  cannot  bear  and  therefore  ejects.  The 
poisonous  effects  of  these  medicines  become  most  evident  when  they  remain 
in  the  body;  for  when  the  body  has  not  the  power  to  reject  them,  they  show 
their  whole!  force  as  a  poison.  You  will  be  told  that  it  is  the  disease  which 
produces  these  symptoms,  but  do  not  believe  it — it  is  false.  More  persons 
die  of  drastic  purgatives,  and  more  children  of  rhubarb  than  of  arsenic,  of 
which  every  one  is  afraid.  With  costive  evacuations  the  action  of  the  intes- 
tines is  greater,  or  the  excrements  could  not  be  ejected — and,  consequently 
nothing  can  remain  behind — for  the  hard  excrements  always  fill  the  intestines 
comitlctely — wliicli  is  never  the  case  in  diarrhcEa.  When  the  action  of  the 
intestines  stops,  it  is  true,  the  contents  remain  stationary  ;  but  it  can  easily  be 
excited  again,  as  has  been  shown  under  "  Constipation."  Doctors  who  dis- 
sect thousands  of  bodies,  almost  always  find  impurities  in  those  who  have  had 
diarrhoea,  but  neVer  in  those  who  have  been  constipated. 

When  loose  evacuations  relieve  a  patient  who  is  suffering  from  some  com- 
plaint or  other,  wait  awhile  before  you  give  medicine — and,  only  in  case  it 
continues  so  long  as  to  be  injurious,  make  a  selection  from  among  the  fol- 
lowing remedies. 

If  children,  while  teething,  have  diarrhoea,  do  not  interfere  with  it  imme- 
diately, but  wait  a  day  or  two  if  they  have  no  other  symptoms  requiring 
treatment.  At  the  commencement  of  a  diarrhsea,  all  acids,  coffee,  tea,  and 
everytliing  salt  should  be  avoided  ;  fruit,  fresh  or  dried,  eggs,  chickens  and 
chicken-broth  also,  are  injurious;  nothing  but  mucilaginous  food  is  to  be 
taken — arrow-root,  rice,  sago,  &c.  If  the  appetite  is  good,  the  patient  may 
take  mutton-broth,  thickened  with  wheaten  or  rice  flour,  or  sago  ;  milk  fresh 
from  the  cow  may  in  some  cases  make  the  diarrhoea  worse,  it  is  better  to  have 
it  boiled  and  taken  warm,  but  it  must  not  be  boiled  too  long,  which  will  make 
it  hard  to  digest. 

Ipecacuanha  is  indicated  in  diarrhoea,  attended  by  screaming, 
tossing,  uneasiness,  profuse  salivation,  and.  distension  of  the 
abdomen — sometimes  ineiTectual  straining,  frequent  small  yellow 
stools,  with  pains  in  the  rectum — or  thin,  mticous,  frothy,  fer- 
menting evacuations  of  a  very  offensive  smell,  or  mixed  with 
blood;  accompanied  by  Aveakness,  an  inclination  to  lie  down, 
drowsiness,  a  pale  face,  blueness  under  the  eyes,  coldness  and 
irrital^ility.  When  Ipecacuanha  does  not  answer,  or  aftbrds  only 
partial  relief,  give  Rheum  ;  when  the  secretions  smell  sour,  it  is 
better  to  give  the  latter  medicine  at  first. 

Chamomilla^  particularly  for  infants  when  they  cry  and  are 
uneasy,  want  to  be  carried  constantly ;  or  for  older  children, 
when  they  are  irritable,  cry  as  if  cra/ed,  and  twist  and  writhe  ; 
when  infants  draw  up  their  legs;  when  the  belly  is  tight,  and 
hard  —  the    evacuation.s    very    frequent   and    mostly   slimy   or 


CHAP.  X.  AFFECTIONS   OF   THE   ABDOMEN.  241 

watery,  or  green  and  brown,  or  of  undigested  matter  which 
smells  like  rotten  eggs  :  accompanied  by  rumbling  in  the 
bowels,  loss  of  appetite,  thirst,  coated  tongue,  frequent  eructa- 
tions and  retching.  Chamomilla  is  appropriate  also  for  grown 
persons,  particularly  when  the  evacuations  are  green,  watery, 
hot  and  offensive,  with  bitter  taste  in  the  mouth,  bitter  eructa- 
tions, bilious  vomiting,  fulness  of  the  pit  of  the  stomach,  griping 
and  headache. 

Pulsatilla^  against  pap-like  or  wately  and  offensive  diarihoea 
with  burning  pain  and  soreness  of  the  anus;  accompanied  bj 
loathing,  nausea,  disagreeable  eructations  and  griping,  the  latter 
more  frequently  during  the  night.  For  pap-like  diarrhoea,  only 
occurring  after  midnight,  preceded  by  pain  in  the  bowels,  which 
ceases  after  an  evacuation,  give  Rhus.  Pulsatilla  is  also  useful 
in  slimy  diarrhoea,  when  each  stool  is  of  a  different  color.  If 
the  diarrhoea  occasions  great  weakness,  give  Colocynthis,  and  if 
this  causes  disagreeable  symptoms,  give  a  little  coffee  w'thout 
milk.  If  the  slime  is  green,  or  mixed  with  blood,  attendel  with 
straining,  give  Mercuritis. 

Pulsatilla  is  particularly  suited  for  patients,  who  arr.  of  a 
gentle,  patient  disposition,  (females  or  children);  and  'f  the 
diarrhoea  was  caused  b}^  fat  victuals. 

Mercurius,  for  diarrhoea  attended  by  fits  of  screaming  and  by 
writhing,  with  ineffectual  urging  and  pressing;  cold  perspira- 
tion and  trembling  ;  the  discharge  green,  watery  and  m'lcous, 
sometimes  bilious,  or  mixed  with  blood,  accompanied  by  great 
exhaustion,  fetid  breath,  loss  of  appetite,  and  a  disposit  on  to 
vomit,  or  vomiting  and  diarrhoea  at  the  same  time;  also  foi  acrid 
diarrhoea  with  burning  and  itching  in  the  anus. 

Sulphur  for  diJirrhoea  which  is  so  acrid  as  to  occasion  sore- 
ness of  the  parts  around  the  anus,  or  to  produce  miliary  erup- 
tions; frequently  accompanied  by  emaciation,  or,  in  children, 
by  a  hard,  distended  abdomen ;  when  every  fresh  exposure 
renews  the  diarrhoea.  It  will  be  serviceable  after  the  failure  of 
other  remedies. 

Aniimonium  crudum,  for  watery  diarrhoea  with  disordered 
r  22 


242  TREATMENT  OF   DISEASES. 

stomach,  and  whitish,  thickly  coated  tongue.  "When  there  la 
besides  soreness  of  the  anus;  spasmodic  pains  in  the  anus  and 
back;  food  of  ever}'-  kind  causes  pressure  in  the  stomach;  dul- 
ness  of  the  eyes;  sallow  and  pale  face,  give  Ferrum^  which  may 
also  be  given  in  diarrhoeas  without  pain.  For  watery  diarrhoea 
which  has  continued  for  a  long  time,  other  remedies  having 
proved  ineffectual,  give  Phosphoric  acid. 

Veratrum,  for  watery  diarrhoea,  pain  about  the  navel  with 
anxiety;  sometimes  sour  vomiting,  much  thirst  for  very  cold 
water  or  something  sour  ;  or  chilliness  and  drawing  pains  in  the 
calves  of  the  legs. 

Rheum^  for  sour,  thin,  slimy,  fermented  diarrhoea,  (compare 
with  Ipecacuanha),  common  with  children,  who  cry  from  pain 
in  the  bowels,  or  are  uneasy  and  draw  up  the  legs,  and  if  you 
see  a  twitching  in  the  upper  part  of  their  thighs  or  groins — 
flow  of  saliva  from  the  mouth,  and  pale  face,  (if  it  is  red,  give 
Chamomilla,  and  if  this  does  not  answer.  Belladonna)]  some- 
times there  is  a  sourish  smell  proceeding  from  the  whole  body 
of  the  child,  which  washing  will  not  remove;  if,  in  such  cases, 
Rheum  does  not  give  relief,  and  the  piiin  is  very  violent,  give 
Chamomilla,  and  if  this  does  not  sufl&ce — the  pain  abating- 
but  the  weakness  continuing  with  distension  of  the  abdomen, 
Sulphur. 

Apium  virus,  for  greenish  yellow,  watery,  painless  diarrhoea, 
particularly  in  the  morning,  or  if  the  abdomen  is  so  sensitive 
that  it  cannot  bear  the  bed-cover.  Especially  for  irritable 
persons,  who  find  fjiult  with  every  thing,  for  fickle  children  who 
drop  and  break  every  thing,  and  become  dejected  and  weak. 

China  will  be  serviceable  in  all  kinds  of  diarrhoea  occurring 
in  debilitated  persons,  and  also  in  other  cases,  when,  during  the 
most  violent  pains,  which  are  spasmodic,  contracting  and  oppres- 
sive, quantities  of  thin  brownish  matter  are  discharged,  some- 
times accompanied  by  burning  pains  in  the  anus,  with  great 
weakness  in  the  abdomen,  rumbling,  flatulency  and  eructations. 
Frequently  when  persons  awake  during  the  night  with  these 
spasmodic  pains,  it  gives  instant  relief,  and  prevents  diarrhoea. 


CHAP.  X.       AFFECTIONS  OF  THE  ABDOMEN.  243 

Bryonia  often  answers  in  the  heat  of  summer,  particularly  in 
diarrhoea  arising  from  drinking  cold  water,  or  from  taking  cold  ; 
or  when  the  diarrhoea  is  caused  by  eating  too  much  fruit,  or  by 
eating  too  much  in  general;  likewise,  when  the  diarrhoea  occurs 
immediately  after  meals;  is  occasioned  by  sour  crout ;  also 
when  produced  by  mental  irritation,  and  Chamomilla  has  failed 
to  cure  it. 

Nux  mosckata,  after  taking  cold  in  water  or  from  wet  feet, 
for  such  who  easily  catch  cold,  and  who  have  a  cool,  sensitive 
skin  ;  for  slimy  stools;  no  appetite;  white-coated  tongue;  offen- 
sive breath  ;  or  thin  evacuations,  accompanied  with  much  strain 
ing;  with  pains  below  the  ribs,  moving  from  right  to  left;  or 
the  abdomen  distended  by  winds;  after  eating  and  drinking, 
pains  in  the  bowels  and  headache. 

Dulcamara,  for  diarrhoea  which  is  caused  by  taking  cold,  par- 
ticularly in  summer  and  autumn — worse  at  night,  frequent 
evacuations,  which  are  rather  watery,  attended  by  no  great 
pain  or  by  colic ;  if  this  does  not  give  relief  in  six  hours,  give 
Bryonia.  If  attended  with  more  weakness  than  pain — if  it  comes 
on  immediately  after  meals,  the  food  being  passed  undigested, 
China  generally  gives  relief;  sometimes  Bryonia  or  Rheum — to 
which  refer;  when  attended  with  great  weakness  and  pain  in 
the  bowels,  give  Arsenicum,  and  if  this  does  not  soon  give  relief, 
Nux  vomica.  When  the  food  passes  undigested,  Ferrum  is  fre- 
quently useful,  alone,  or  given  alternately  with  China  or  Cal- 
carea.  For  diarrhoea  attended  by  great  weakness,  mostly  Ipeca- 
cuanha,  Veratrum  or  Arsenicum;  for  diarrhoea  without  any  pain, 
Ferrum,  is  best.  When  diarrhoea  and  constipation  come  on 
alternately,  which  is  frequently  the  case  in  aged  people,  Anti- 
monium  crudum  answers  best. 

For  diarrhoea  in  females  during  pregnancy,  and  in  confine- 
ments, refer  to  "  Diseases  of  Women ;"  and  for  diarrhoea  with 
children  during  summer,  to  "  Summer  Complaint,"  among  "Dis- 
eases of  Children." 


244  TREATMENT   OF   DISEASES. 


Dysentery. 

The  chief  symptoms  of  dysontary  are  :  a  constant  straining  and  desire  tc 
Btool,  with  cutting  pains  in  the  bowels  ;  small  stools  of  whitish  or  bloody 
mucus,  but  no  real,  fceccs  are  discharged.  The  constant  straining  and  desire 
to  stool  are  caused  by  inflammation  (that  is  :  swelling,  redness  and  pain,)  of  the 
large  intestine,  and  not  by  the  presence  of  freces  as  in  a  healthy  person  ;  this 
disease  is  not,  as  commonly  believed,  diarrhoea,  hut  just,  the  reverse,  it  is  con- 
stipation. The  re-appearauce  of  fteces  in  the  stools  is  a  sign  that  the  patient 
is  better. 

Dysentery  attacks,  generally,  a  great  many  people  at  the  same  place,  and 
if  the  right  remedy  is  found  in  one  case,  it  may  be  given  in  all  other  cases,  as 
in  all  other  epidemics.  The  homoeopathic  physicians  should  in  every  epi- 
demic try  to  find  the  right  remedy  and  make  it  public. 

If  in  such  an  epidemic  you  have  once  a  patient  in  your  house,  there  will  be 
soon  more  from  the  use  of  the  same  privy.  The  surest,  easiest  and  cheapest 
way  of  disinfecting  is  a  solution  of  copperas,  (sulphate  of  iron.)  one  part  of 
copperas  to  twenty  parts  of  water  ;  some  of  this  solution  should  be  mixed 
with  all  the  discharges  of  the  patient  and  a  quart  or  two  of  it  poured  every 
few  days  into  the  privy. 

Dysentery  is  most  frequent  when  the  days  are  hot  and  the  nights  cool,  at 
such  times  be  particularly  careful  not  to  take  cold  when  you  are  heated  by 
cold  drinks,  a  draught,  taking  off  a  part  of  your  clothing,  or  sitting  down 
upon  tlie  ground  or  a  stone.  Use  no  unripe  fruit,  spoilt  malt  liquor,  sour 
wine,  mineral  water,  lemonade,  especially  not  at  night. 

'  Sometimes  there  is  at  first  common  diarrhoea,  for  which  you  should  select 
a  remedy  from  those  recommended  under  "  Diarrhoea,"  but  more  particularly, 
V  ra/rnin,  rnl.idtilla  or  Nux  vioiira,  Veratruiii  for  watery  diarrlia^a,  chilli- 
ness, painful  drawing  in  the  calves  of  the  legs,  anxiety  and  pain  about  the 
navel,  sour  vomiting  and  thirst.  Pulsatilla  for  slimy  diarrhoea  and  vom- 
iting ;  the  patient  sleepy,  of  gentle,  patient  disposition  (females  or  children  ;) 
if  caused  by  fat  victuals  ;  chilliuess  ;  worse  at  night. 

At  other  times  dysentery  is  preceded  by  i>llier  comjilainfs  for  which  a 
remedy  has  to  be  selected  from  those  recommended  under  their  different  heads. 

Acoiiitiim  for  heat  and  thirst ;  the  patient  of  a  full  habit,  pulse  strong  and 
fast,  face  hot  and  red,  more  so  at  night.  Tain  in  the  bowels  accompanied 
witli  anxious  desire  to  pass  water,  urine  hot  and  brown-red  ;  dry  mouth  or 
cold  in  the  head. 

For  constipation  preceding  dysentery,  compare  Nux  vomica,  Bryonia,  Fla- 
tinuni;  or  Mercu.rius,  S'aj>hisiv/)-iii,  Nulruni  ninriaticuni. 

Nux  vomica  for  constipation  of  patients  who  are  impatient,  cross  and  pas- 
sionate, who  have  been  in  the  habit  of  drinking  much  coffee  or  spirituous 
liquors,  but  have  n(nv  a  marked  aversion  to  these  things  ;  if  the  pains  are  more 
about  the  stomach  and  worse  in  the  morning. 

The  patient  may  drink  as  much  cold  water  as  he  likes,  and  nothing  else  but 
gruel  and  other  farinaceous  articles.  When  he  is  recovering  he  should  eat 
the  same  things,  with  some  mutton-broth,  he  should  eat  often  but  not  much 
at  a  time. 

Mercurius,  when  there  is  an  urgent  desire  to  evacuate,  as  if 
the  intestines  were  being  pressed  out;  after  much  pressing,  a 
discharge  of  light  blood  or  greenish,  brokeu-up  looking  matter 


CHAP.  X.       AFFECnONS  OF  THE  ABDOMEN.  245 

mixed  with  blood,  and  more  straining  after  the  evacuation  than 
before ;  in  children  accompanied  with  crying  and  screamino-  • 
infants  thus  affected,  refuse  to  take  the  breast. 

Aconitum  is  indicated  by  tearing  pains — resembling  rheuma- 
tism— in  the  limbs,  head,  neck  and  shoulders ;  violent  chills ; 
much  heat  and  thirst;  bilious  or  thin  and  watery  evacuations, 
sometimes  mixed  with  mucus  or  slightly  tinged  with  blood; 
dull  or  cutting  pains  in  the  abdomen.  It  is  particularly  valu- 
able in  dysenteries  occurring  in  autumn — when  the  days  are  hot 
and  the  nights  cold. 

Belladonna  when  Aconitum^  which  seemed  to  suit,  does  no 
good,  particularly  for  lively,  restless  persons,  or  children  who 
cry  easily,  or  women  who  are  easily  frightened ;  if  the  patients 
on  awaiting,  or  during  sleep,  talk  at  random ;  if  every  moment 
they  want  to  get  out  of  bed  or  into  another  one ;  especially  if 
the  tongue  is  dry  and  red  at  the  point  (compare  Ehus),  or  if  it 
has  two  white  stripes  and  is  red  all  around  and  in  the  middle. 

Charaomilla  after  Aconitum^  if  there  is  still  fever  and  thirst 
with  rheumatic  pains,  especially  in  the  head ;  nausea,  foul  tongue, 
bitter  taste,  &c. ;  and  particularly  if  the  disease  was  produced  by 
a  sudden  check  of  perspiration ;  and  is  accompanied  by  great 
agitation  and  tossing  about. 

China  against  epidemic  and  periodic  dysentery,  which  affects 
many  persons  at  the  same  time  in  a  marshy  region,  or  where 
canals  are  being  dug ;  particularly  when  the  complaint  is  worse 
every  other  day ;  or  if  the  patients  have  a  soreness  below  the 
ribs,  particularly  on  the  left  side,  with  fulness;  in  general  for 
weak,  pale  persons. 

Veratrum,  if  the  discharge  is  watery,  with  bloody  mucus  and 
flakes  swimming  in  it,  or  perhaps  with  sour  vomiting;  great 
thirst;  severe  cutting  pains  in  the  bowels;  if  the  water  passes  very 
seldom  ;  face  pale,  sunken  or  swollen ;  general  coldness,  or  the  face 
on\y  cold;  great  weakness;  drawing  in  the  calves  of  the  legs. 

Arsenicura,  when  the  dark,  slimy  and  bloody  evacuations  have 
a  putrid  sn:ell,  when  they  pass  involuntarily,  when  the  urine 
becomes  offensive,  the  patient  loses  his  strength,  becomes  quite 

22* 


246  TREATMENT   OF   DISEASES. 

indifferent,  bis  faculties  benumbed,  Avith  a  bail  s;iiell  from  the 
mouth  ;  when  here  and  there  red  or  blue  spots  appear ;  also, 
when  tbe  patient  tosses  about  in  great  agony ;  is  unable  to  find 
rest,  believes  he  is  dying,  &c. ;  when,  at  the  same  time,  the  breath 
is  very  cool,  or  when  he  complains  of  burning  ;  when  Arsenrcunt 
proves  inefiective,  after  one  or  two  doses,  give  Carbo  vegeiahilis. 
When,  after  Carho  vegetabilis,  the  putrid  smell  remains,  give 
China;  and  afterwards  again,  Carho  vegetabilis.  Carbo  vegetabilis 
and  Arsenicum  are  both  suitable  if  the  dysentery  was  brought 
on  by  cold  drinking,  particularly  by  ice- water ;  for  those  who 
are  in  the  habit  of  using  spirituous  liquors,  or  who  are  fond  of 
cakes,  fat  victuals  and  milk,  Carbo  vegetabilis  is  belter.  If  caused 
by  bad  malt  liquors  or  fruit,  Arsenicum. 

Colocynthis  for  extreme  pain  in  the  bowels,  as  if  the  intestines 
were  jammed  between  stones;  the  patient  writhing  with  pain, 
the  discharge  slimy,  sometimes  mixed  with  blood,  the  abdomen 
much  distended,  sometimes  like  a  drum ;  a  pressure  as  if  the 
belly  was  full;  shuddering,  commencing  in  the  abdomen  and 
fextending  over  the  whole  body ;  the  tongue  covered  with  white 
mucus;  also,  if  brought  on  by  anger  and  mortification.  Refer 
also  to  "  Colic." 

Staphisagria,  in  similar  cases,  when  the  pains  are  renewed  by 
every  mouthful  of  food  and  drink,  even  of  water,  and  if  there  is 
afterwards  straining  and  pressing.  It  is  sometimes  useful  in 
alternation  with  Colocynthis.  If  both  of  them  do  good  only  for 
a  short  time,  give  Caiisticum. 

Rhus^  after  a  heavy  cold,  particularly  after  getting  wet  all 
over,  in  a  rain  or  otherwise,  whilst  in  a  perspiration;  especially 
if  the  discharge  is  bloody,  slimy,  brownish  or  greenish,  and 
swims  upon  the  water  (compare  China  and  Hhus) ;  or  for  such 
who  have  from  the  first  a  breaking  out  on  the  lips  (compare 
Arsenicum). 

Sulphur  should  be  given  in  all  protracted  cases,  when  the 
other  remedies  give  relief,  but  do  not  effect  a  complete  cure:  if 
there  is  still  some  straining;  if  the  patient  has  an  aversion  to 
bread,  meat,  milk,  sweet  and  sour  things,  malt- liquors  and  wine, 
and  wants  nothing  but  thin  soup  and  spirituous  liquors. 


CHAP.  X.       AFFECTIONS  OF  THE  ABDOMEN.  247 


Common  Cholera.    Cholera  Morbus. 

This  disease  is  characterised  by  violent  purging  and  vomiting,  griping, 
thirst,  and  sometimes  by  cramps  and  coldness  of  the  extremities. 

It  is  most  generally  preceded  by  shivering,  headache,  nausea,  pain  in  the 
abdomen,  &c.  In  some  cases,  however,  violent  vomiting  and  purging  set  in 
almost  simultaneously.  In  severe  cases,  there  is  consid(Tal)le  pain  in  the 
abdomen,  violent  cramps  in  the  muscles  of  the  limbs,  paleness  of  surface, 
pinched  features,  sunken  eyes,  cold  and  clammy  skin,  and  great  anxiety  and 
depression. 

Attacks  frequently  come  on  at  night,  and  by  morning  the  patient  may  have 
almost  or  eatirely  recovered. 

The  exciting  causes  are  chiefly  improper  quantity  or  quality  of  food- 
cucumbers,  for  instance,  or  any  unripe  fruits  or  crude  vegetables— changes 
of  temperature,  great  fatigue,  ice  or  iced  water,  &c. 

Chamomilla,  if  the  attack  was  induced  by  a  fit  of  passion  ;  or 
if  the  following  symptoms  are  presented  :  acute  colicky  pains, 
or  heavy  pressure  in  the  region  of  the  navel,  sometimes  extend- 
'  ing  to  the  heart,  with  excessive  anguish;  greenish  evacuations; 
cramps  in  the  calves  of  the  legs;  tongue  coated  yellow,  and 
sometimes  vomiting  of  acid  matter. 

Ipecacuanha,  if  the  attacks  of  vomiting  become  more  promi- 
nent, and  vomiting  predominates.  Nux  vom.ica,  after  Ipecacuanha 
when  there  is  anxiety,  pain  in  the  abdomen,  frequent  small 
evacuations  and  tenesmus,  and  headaches. 

Veratrum,  should  the  disease  increase,  and  assume  the  follow- 
ing cliaracteristics,  violent  vomiting  with  severe  diarrhoea,  excessive 
weaJaiess,  and  cramps  in  the  calves  of  the  legs;  eyes  hollow  or 
sunken,  countenance  pale,  and  expressive  of  acute  suffering; 
coldness  of  the  extremities,  cold  clammy  perspiration,  violent 
pain  in  the  region  of  the  navel,  tenderness  of  the  abdomen  when 
touched;  pains  and  cramps  in  the  fingers,  shrivelled  appearance 
of  the  skin  on  the  palms  of  the  hands. 

Arsenicum  is  useful  wlien  the  disease  is  attended  with  rajnd 
prostration  of  strength,  insatiable  thirst,  excessive  anxiety,  with 
fear  of  approaching  death,  burning  sensation  in  the  region  of  the 
stomach,  almost  constant  discharge  from  the  bowels,  or  renewal 
of  the  discharge  on  every  occasion  that  the  desire  for  drink  is 
gratified ;  suppression  of  urine  or  scanty  discharge  followed  by 
a  burning  sensation  ;  violent  and  painful  vomiting,  tongue  and 


248  TREATMENT   OF   DISEASES. 

lij)S  dry,  cracked  and  bluish,  or  black;  hollow  cheeks,  pointed 
nose,  pulse  almost  imperceptible,  or  small,  weak,  intermittent, 
and  trembling ;  severe  spasms  in  the  fingers  and  toes ;  clammy 
per»piration. 

China,  is  useful  against  the  weakness  which  remains  after 
choh-'ra,  but  is  also  occasionally  during  the  course  of  the  dis- 
ease, particularly  when  tliere  is  vomiting  of  food,  and  frequent 
watery  and  brownish  evacuations  containing  particles  of  undi- 
gested food;  also  when  there  is  oppression  at  the  chest  with 
eructations  which  afford  temporary  relief;  severe  pressure  in 
the  abdomen,  especially  after  partaking  of  the  smallest  j)ortion 
of  food;  great  exhaustion,  sometimes  amounting  to  fainting. 
This  remedy  is  particularly  indicated  when  the  disease  has  been 
excited  by  indigestible  substances,  such  as  unripe  fruit,  &c.,  or 
by  inhabiting  a  marshy  situation. 

Cuprum,  in  cases  with  violent  cramps  in  the  extremities,  espe- 
cially in  the  calves  of  the  legs,  fingers  and  toes;  it  is  useful 
also  when  the  evacuations  are  very  frequent  and  whitish,  with 
violent  pains  in  the  abdomen,  bluish  appearance  of  the  skin.  &c. 

Asiatic  (or  epidemic)  Cholera. 

During  an  epidemic  of  cholera,  the  doctors  tell  the  people : 
"Be  not  afraid ;  though,  in  spite  of  all  we  can  do  for  you,  you 
will  get  the  cholera  and  will  most  likely  die,  yet,  be  not  afraid, 
for  fear  makes  it  certainly  worse."  But  I  say:  Be  afraid!  a 
little  fear  is  wholesome,  it  wiir  make  you  careful.  He  who  is 
afraid  and  lives  reasonably  will  not  easily  be  attacked,  or  only 
slightly,  and  he  who  is  not  afraid,  and  lives  unreasonably,  is 
more  likely  to  get  it ;  but  he  may  be  saved. 

The  surest  preventative  is  Sulphur ;  put  half  a  teaspoonful  of 
Flowers  of  Sulphur  into  each  of  your  stockings  and  go  about 
your  business;  never  go  out  with  an  empty  stomach,  eat  no 
fresh  bread,  nor  sour  food.  This  is  not  only  a  preventative  in 
cholera,  but  also  in  many  other  epidemic  diseases.  Not  one  of 
the  many  thousands  ivho  have  followed  this,  my  advice,  have  been 
attacked  by  cholera. 


CHAP.  X.  AFFECTIONS   OF   THE   ABDOMEN.  249 

At  the  beginning,  when  you  have  diarrhoea,  Sulphur  will 
relieve  you,  take  it  at  once,  and  if  it  must  be  repeated,  dissolve 
a  few  globules  of  it  in  a  tumblerful  of  water  and  take  a  spoonful 
after  every  other  evacuation.  If  you  awake  after  midnight  with 
vi(dent  diarrhoea,  vomiting,  cramps  in  the  calves  of  the  legs, 
paleness  and  coldness,  take  Sulphur  and  keep  quiet,  the  next 
day  eat  nothing  but  stale  bread,  and  you  will  be  well  the  next 
day. 

This  has  been  confirmed  in  18-i9  in  more  than  five  hundred 
cases  which  came  to  my  knowledge.  In  a  few  cases  other 
remedies  were  necessary,  and  that  only  when  the  patient  had 
violated  the  rules;  but  none  did  die  who  took  Sulphur  from  the 
first. 

For  sudden  attacks,  and  in  general  in  the  commencement,  if 
the  disease  becomes  rapidly  much  worse,  Camphora  shaken  with 
water  or  dissolved  in  alcohol,  is  the  chief  remedy.  If  the 
patient  is  attacked  wil^h  cramps,  nausea,  excessive  prostration, 
coldness  and  blueness  of  the  surface,  give  him  a  drop  of  it 
every  fifteen,  ten  or  five  minutes  until  he  begins  to  pjerspire. 
This  remedy  was  discovered  and  first  made  known  to  the  world 
by  Hahnemann  ;  it  has  since  become  a  popular  remedy  in  all 
countries,  and  has  saved  the  lives  of  hundreds  of  thousands.  Do 
not  take  too  much  of  it,  and  not  for  each  trifling  diarrhoea,  you 
may  bring  on  artificial  cholera,  of  which  I  have  seen  many 
cases ;  they  were  cured  by  coffee  without  milk  and  sugar. 

The  remedies  for  the  diarrhoea,  called  sometimes  cholerine,  which  prevails 
during  epidemic  cholera  or  precedes  attacks  of  it,  are  Sulphur,  as  stated  above, 
Ipecncwniha,  Phosphoric  acid,  Kiix  vomica,  Chainomilla,  see  the  following  and 
"  Diarrhoea." 

Ipecacuanha,  when  there  is  some  nausea  and  sickness  at 
stomach,  the  diarrhoea  slight,  will  frequently  prevent  the  dis- 
ease passing  into  the  severe  forms. 

Phosphoric  acid  has  been  by  some  considered  almost  specific 
in  the  diarrhoea  which  precedes  cholera,  particularly  if  the  evacu- 
ations are  frequent,  loose  and  slimy,  or  of  a  whitish  gray  color, 
or  if  they  consist  of  undigested  substances. 


250  TREATMENT   OF   DISEASES. 

For  attacks  of  real  cholera :  Caynphora,  as  stated  above ;  oi 
Arsenicum,  when  the  purging  and  vomiting  become  very  fre 
quent ;  the  evacuations  from  the  bowels  being  thin,  watery, 
and  of  a  brownish  or  blackish  color  and  putrid  smell,  or  light 
Colored  and  almost  without  smell,  especially  when  accompanied 
by  intense,  burning  pains  or  cramps  in  the  stomach  and  bowels, 
with  violent  thirst,  and  great  prostration  of  strength  ;  also  burn- 
ing in  the  anus  and  rectum  with  tenesmus.  It  is  also  worthy  of 
attention  in  the  last  stage  of  the  disease. 

Veratrum  is,  however,  the  remedy  upon  which  the  chief 
reliance  is  to  be  placed,  when  cholera  is  fully  developed;  the 
discharges  almost  constant  and  presenting  the  characteristic 
n'ce-woter  appearance,  with  cramps  in  the  calves  of  the  legs, 
fingers,  toes,  and  sometimes  of  the  muscles  of  the  abdomen  and 
chest ;  the  patient  excessively  restless  and  anxious ;  the  extremi- 
ties cold,  &c.  This  remedy  may  be  administered  every  fifteen 
or  twenty  minutes  until  several  doses  are  taken,  or  there  is  a 
decided  change  in  the  symptoms;  frequently  it  maybe  alter- 
nated advantageously  with  Arsenicum,  especially  when  the  pains 
are  of  a  burning  character;  the  thirst  unquenchable,  and  the 
evacuations  increased  by  drinking  cold  water. 

Cuprum,  after  or  in  alternation  with  Veratrum,  when  that 
remedy  has  failed  to  relieve  the  cramps,  which  are  very  violent 
and  extend  to  the  whole  body,  or  change  to  spasms  or  convul- 
sions, with  constriction  of  the  chest  and  difficult  respiration. 

Garbo  vecjetabilis  may  frequently  be  of  service  in  the  last  stage 
of  the  disease,  when  the  patient  is  in  a  state  of"  collapse,  or 
asphyxia;  the  pulse  almost  gone;  the  surface  cold  and  bluish; 
the  breath  cold;  or  when  the  evacuations  and  cramps  have 
ceased,  and  congestion  to  the  chest  takes  place.  If  reaction 
should  ensue  after  the  administration  of  Carho  vegetabilis,  and 
the  purging,  vomiting,  and  cramps  return,  it  will  be  necessary  to 
have  recourse  again  to  Veratrum,  or  some  other  of  the  foregoing 
medicines. 

In  the  congestions  which  frequently  follow  cholera,  that  to  the  head  will 
generally  be  relieved  by  Acoaitum,  Belladonna  and  Opium  ;  that  to  the  chest 


CHAP.  X.  AFFECTIONS   OF   THE   ABDOMEN".  251 

by  Phosphorus,  Bryonia,  Aconitum,  and  other  remedies  recommended  for 
"Congestion  of  the  Chest,"  which  see. 

During  the  treatment  of  cholera  the  patient  should  be  kept  in  a  warm  room, 
and  the  heat  of  the  body  kept  up  as  much  as  possible  by  frictions  with  the 
hand  previously  dipped  in  flour  to  prevent  abrasion  of  the  skin.  Warm  oat- 
meal and  bran  applied  to  the  limbs  or  over  the  whole  body  in  suitable  baga 
is  also  good,  everything  heated  is  very  painful  to  the  patient  and  of  no  use. 
To  quench  the  violent  thirst  which  generally  accompanies  the  disease,  small 
pieces  of  ice  should  be  placed  in  the  mouth  from  time  to  time ;  cold  water,  in 
small  quantities,  may  also  be  allowed  unless  it  be  found  to  aggravate  the 
disease. 

If  the  patient  gets  better  and  wants  to  eat  give  him  gruel  and  light  food, 
often  and  only  a  little  at  a  time.  Eating  as  much  as  he  wants  may  cost  hia 
life. 

Constipation. 

The  first  observation  we  have  to  make  on  this  complaint,  and  which  many 
will  consider  paradoxical,  is,  that  everyone  whose  bowels  are  constipated, 
may  congratulate  himself  that  he  has  no  worse  complaint.  Whoever  has 
paid  attention  to  the  subject,  must  be  aware  that  nearly  all  persons  who  are 
disposed  to  costiveness,  live  long  and  keep  their  strength,  except  when  they 
injure  themselves  by  taking  aperient  medicines.  Those,  on  the  contrary,  who 
are  subject  to  frequent  attacks  of  diarrhoea,  are  early  in  life  debilitated  and 
seldom  grow  old. 

No  diarrhoea  can  appear  when  there  is  not  some  poisonous,  noxious  matter, 
or  morbid  disposition  in  the  body,  while,  on  the  other  hand,  much  perspiration 
and  the  eating  of  animal  food  are  sufficient  to  cause  constipation.  In  regard 
to  the  notion  of  impurities  remaining  in  the  body,  see  what  is  said  under 
"  Diarrhoea."  The  very  popular  opinion  that  purging  contributes  to  health, 
not  only  when  the  body  suffers  from  sickness,  but  also  occasionally  when  it 
is  in  a  healthy  state,  and  that  impurities  are  driven  out  of  the  body  by  it,  is 
entirely  erroneous  and  without  foundation.  It  serves  to  keep  up  the  sale  of 
drugs,  and  it  has  been  repeated  year  after  year  until  it  is  almost  universally 
received.  It  is  a  part  of  the  traditional  medical  creed  of  the  world,  and  no 
one  dares  to  doubt  it.  Medical  men  spread  and  encourage  this  idea,  because 
nearly  their  whole  art  consists  in  bleeding,  purging,  and  giving  emetics.  This 
creed  is  the  pivot  upon  which  the  whole  of  the  old  system  turns,  and  patients 
deferring  to  authority,  must  needs  submit.  When  this  erroneous  method  of 
treatment  is  prescribed  with  due  confidence  and  solemnity,  heart  and  purse 
(but  not  alvvaj's  the  bowels)  open,  and  persons  actually  in  sound  health  feel  a 
downright  longing  to  be  properly  scrubbed  and  cleansed  inside. 

Every  one  who  will  make  the  following  experiment  upon  a  horse,  or  upon 
himself,' will  be  convinced  that  our  opposition  to  purging  is  well  founded.  Let 
aperient  medicines  be  taken  for  a  week,  and  however  good  may  have  been  the 
state  of  health  previously,  at  the  termination  of  this  period  all  sorts  of 
impurities  will  be  discharged,  particularly  after  taking  jalap  and  calomel.  As 
this  happens  in  every  instance,  eitlier  to  man  or  beast,  and  even  to  those  who 
have  never  been  ill,  it  is  a  proof  that  these  impurities  have  been  artificially 
produced  by  the  drugs. 

We  are  frequently  able  to  judge  from  the  nature  of  the  secretion,  what 
medicine  has  been  administered.  After  salts,  the  evacuation  always  smells 
like  rotten  esgs;  after  drastic  gums,  they  are  thin  and  watery ;  after  mercury, 
gieen  ;  and  after  magnesia  and  rhubarb,  generally  sour,  &c.    When  we  inquire 


252  TREATMENT   OF   DISEASES. 

into  the  causes  which  produce  this  purging,  we  find  that  almost  all  poisonous 
substances  have  a  simihir  effect,  and  that  for  this  reason  we  may  class  the 
purgatives  with  propriety  among  the  poisons.  Some  esteem  them  a  real  god- 
Bend,  and  imagine  that  those  drugs  have  been  created  for  this  very  purpose. 
It  might  as  well  be  supposed,  that  the  rattlesnake  and  the  tiger  are  created 
to  destroy  us. 

B'lt  if  we  admit  that  these  drugs  are  intended  to  be  used  as  medicines,  it 
is  nt)  reason,  because  we  see  them  produced  in  great  quantities,  that  we  should 
make  an  excessive  use  of  them.  Virulent  poisons,  although  given  but  in  small 
portions,  produce  vomiting  and  purging,  or  injure  the  stomach  ;  the  less  viru- 
lent poisons  are  called  purgatives,  merely  because  they  do  not  kill  imme- 
diately, but  are  generally  rejected  by  the  efforts  of  nature. 

Pc-rsons  suffering  from  constipation,  and  seeking  occasionally  to  be  relieved, 
or  suffering  from  other  complaints  connected  with  it,  should  take  the  reme- 
dies hereafter  prescribed.  At  the  same  time  attention  should  be  paid  to  the 
manner  of  living  ;  moderation  in  the  use  of  meat,  which  must  not  be  eaten 
three  times  a  day,  is  to  be  observed  ;  a  free  use  of  salted  food  is  to  he  avoided, 
mastication  attended  to,  or  the  food  to  be  well  cut  up,  if  teeth  have  been  lost ; 
a  considerable  quantity  of  vegetables,  fruit  and  bread  to  be  taken  with  meat 
■ — soup  may  be  indulged  in ;  strong  or  green  tea  to  be  avoided,  and  also  all 
spirituous  liquors  and  beer  which  contain  narcotics  ;  in  place  of  these  new 
milk  may  be  used,  or  even  butter-milk,  which,  though  it  is  generally  despised 
and  given  to  the  pigs  in  this  country,  is  nevertheless  a  wholesome  beverage, 
both  for  children  and  grown  persons. 

Persons  habitually  constipated  should  also  always,  if  it  agrees  with  them, 
eat  fruit  at  dinner,  dried  fruit  in  preference,  or  good  ripe  apples  ;  they  should 
avoid  indulging  in  cheese,  and  accustom  themselves  to  drink  a  glass  of  water 
before  going  to  bed. 

Among  the  domestic  remedies  nothing  can  be  recommended,  except  from 
time  to  time  an  injection  of  water.  Many  persons  are  afraid  if  they  get  into 
the  habit  of  using  injections  that  they  will  be  compelled  to  continue  them  ; 
but  there  is  no  danger  of  this,  if  the  medicines  recommended  are  taken  at  the 
same  time.  The  injections  used  should  consist  of  nothing  but  water,  and  not 
be  employed  too  frequently.  To  accustom  oneself  to  purgatives  is  infinitely 
worse. 

For  other  precautions  in  giving  injections,  refer  to  "  Piles." 

Injections,  it  is  true,  only  relieve  the  patient  for  a  while,  but  in  the  meaa 
time  the  cause  may  be  removed  by  medicine,  and  the  disease  cured.  Persons 
who  have  suffered  a  long  time  from  constipation,  which  constantly  returns, 
may  sometimes  be  cured  entirely  by  injections.  For  this  purpose,  let  the 
water  be  as  cold  as  it  conies  from  the  spring,  about  half  a  pint,  or  a  coffee  cup 
full  at  a  time,  and  take  the  injection  before  going  to  bed  at  night.  It  should, 
if  possible,  be  retained.  Persons  who  continue  this  treatment  for  a  week  or 
two,  frequently  become  quite  regular  in  their  bowels,  if  they  live  rationally  at 
the  same  time.  Those  who  suffer  from  piles  must  not  have  recourse  to  this 
remedy. 

All  other  injections  besides  water  and  all  admixtures  are  injurious,  except 
fresh  boiled  milk,  which  is  sometimes  preferable  for  children. 

Another  remedy  is  plenty  of  exercise,  walking,  particularly  up  hill.  Per- 
sons who  are  costive  should  be  regular  in  attending  to  the  calls  of  nature  ;  the 
best  time  is  in  the  morning,  before  or  after  breakfast 

The  followii  g  medicines,  when  properly  selected,  will  greatly  facilitate  the 
care. 


CHAP.  X.  AFFECTIONS   OF   THE   ABDOMEN.  253 

Nux  vomica  is  most  suitable  for  constipation  occurring  in  per- 
sons of  sedentary  habits,  and  those  accu.stomed  to  drinlvino 
ardent  spirits;  also  for  that  which  is  occasioned  by  eating  too 
greiit  a  variety  of  food  at  once;  after  a  surfeit,  or  when  the  con 
stipation  is  preceded  by  diarrhoea,  or  for  suppressed  diarrhoea, 
with  want  of  appetite,  disagreeable  taste,  the  tongue  coated, 
loathing,  sickness  of  the  stomach,  tightness  of  the  abdomen, 
pressure  in  that  region,  heat,  stitches  here  and  there,  a  feeling 
as  of  a  weight,  cutting  pain  in  the  lower  part  of  the  abdomen, 
heat  particularly  in  the  face,  headache,  disinclination  to  work, 
uneasy  sleep,  oppressed  breathing,  irritability  and  frequent  com- 
plaining.— When  accompanied  by  moroseness,  taciturnity,  and 
after  eating  too  many  cakes,  rancid  butter,  &c,,  give  Pulsatilla  ; 
when  the  patient  is  irritable  and  feels  chilly,  give  Bryonia. 

Bryonia  is  particularly  useful  in  constipation  occurring  in 
warm  weather,  and  in  persons  who  suffer  from  rheumatism. 

Opium  when  there  is  an  inclination  to  evacuate,  but  a  feeling 
as  if  the  anus  were  closed;  there  is  no  regular  pressure  ;  some- 
times a  sensation  as  if  there  were  a  load  in  the  abdomen  ; 
throbbing  in  the  abdomen ;  pressure  on  the  stomach ;  dry 
mouth,  thirst,  and  want  of  appetite. 

Platinum,  when,  after  much  straining,  the  faeces  are  evacuated 
in  but  small  quantities;  straining  and  itching  in  the  anus; 
shuddering  over  the  whole  body  after  every  evacuation,  accom- 
panied by  a  feeling  of  weakness  in  the  abdomen,  with  contrac- 
tion, bearing  down,  oppression  of  the  stomach,  and  ineffectual 
efforts  to  throw  up  wind  ;  suitable  also  for  constipation  after  or 
while  travelling. 

Lachesis,  for  protracted  costiveness,  with  a  feeling  of  weight 
and  oppression  at  tbe  stomach,  and  ineffectual  eructations. 

Mercurius  against  costiveness  accompanied  by  a  disagreeable 
taste  in  the  mouth,  with  pain  in  the  gums,  the  appetite  unim- 
paired ;  if  Mercurius  does  not  suffice,  give  Staphisagria. 

Natrum  muriaticum  in  tedious  cases,  where  the  above  reme- 
dies have  failed,  and  there  is  no  inclination  whatever  to  evacuate. 

23 


254  TREATMENT  OP   DISEASES. 

For  frequent  disposition  to  go  to  stool,  with  ineffectual  efforts, 
give  Sulphur. 

Inflammation  of  the  Liver.    Pains  in  the  Liver. 

Pains  below  the  ribs  on  the  right  side,  extending  up  or  down, 
with  fever,  require  the  following  remedies : 

Aconiium  if  the  fever  is  high,  with  hot  skin,  much  thirst,  and 
whitish  furred  tongue,  accompanied  bj  moaning,  great  restless- 
ness, and  dread  of  death  ;  shooting  pains  in  the  region  of  the 
liver. 

Chamomilla  if  the  pains  are  of  a  dull  pressive  character,  and 
are  neither  aggravated  by  pressure,  bj  respiration,  nor  by  move- 
ment, with  a  sense  of  pressure  in  the  stomach,  tension  below  the 
ribs  on  the  right  side,  oppression  of  the  chest;  yellowness  of  the 
skin;  tongue  coated  yellow;  bitter  taste  in  the  mouth,  and 
paroxysms  of  anguish. 

Nux  vomica  against  shooting  or  pulsative  pains  with  great 
tenderness  of  the  region  of  the  liver  when  touched  ;  nausea  or 
vomiting;  bitter  or  sour  taste;  shortness  of  breath  and  sense  of 
pressure  under  the  ribs  and  about  the  stomach  ;  pressive  pain  in 
the  head  ;  thirst ;  highly  colored  urine;  giddiness  and  paroxysms 
of  anguish  ;  constipation. 

Mercnrius :  pains  under  the  ribs  of  a  pressive  character,  which 
do  not  allow  the  patient  to  lie  long  on  the  right  side;  bitter 
taste  in  the  mouth  ;  want  of  appetite ;  thirst,  continued  shiver- 
ing, f  )llowed  sometimes  by  clammy  perspiration ;  yellowness 
of  the  skin  and  of  the  white  of  the  eyes ;  also  in  enlargement 
and  liardening  of  the  liver.  Lachesis  is  frequently  suitable  after 
Afercuri.us. 

Belladonna  against  pains  in  the  region  of  the  liver  which  ex- 
tend to  the  chest  and  shoulders,  particularly  of  the  right  side ; 
swelling  and  tightness  at  the  pit  of  the  stomach;  oppressed  and 
anxious  respiration  ;  congestion  to  the  head  with  giddiness  ; 
dimness  of  vision  and  occasional  fainting ;  great  thirst,  anxiety, 
restlessness  and  sleeplessness.  It  is  often  suitable  Siher  Aconitum, 
Afe'^curiiis  and  Lcichesis. 


CHAP.  X.  AFFECTIONS   OF  THE   ABDOMEN.  255 

Lachests  will  be  serviceable  in  cases  in  which  Mercurivs  and 
Belladonna  nppear  to  be  indicated,  but  only  affi>rd  partial  relief; 
and  also  in  obstinate  chronic  cases  occurring  in  drunkards. 

Bryonia^  when  the  pains  are  pressive,  with  a  feeling  of  tension 
in  tlie  region  of  the  liver ;  pains  aggravated  by  respiration, 
cougliing  and  movement ;  violent  oppression  of  the  chest,  with 
rapid  and  anxious  respiration  ;  thick  yellowish  coating  on  the 
tongue;  constipation. 

China  when  worse  every  other  day,  with  shooting  and  pres- 
sive pains  in  the  region  of  the  liver;  swelling  and  hardness 
below  the  ribs;  pressive  pain  in  the  head;  tongue  thickly 
coated,  yellowish,  and  bitter  taste  in  the  mouth. 

SulphtLr  will  be  serviceable  after  any  of  the  preceding  reme- 
dies, when  the  improvement  is  but  temporary  and  the  disease 
still  continues. 

Jaundice. 

There  are  different  kinds  of  jaundice,  sometimes  it  continues  for  a  long 
time  without  any  danger,  sometimes  it  is  accompanied  by  fever  and  in  some 
cases  a  favorable  sign,  in  other  cases  a  dangerous  sign,  wliich  can  be  seen  by 
the  general  state  of  the  patient. 

There  is  commonly  but  little  fever  in  the  mild  forms  of  this  disease,  but  in 
bad  cases  the  fever  may  be  high,  and  the  brain  become  more  or  less  affected, 
which  is  always  a  serious  complication,  and  especially  so  when  drowsiness, 
with  great  difRculty  in  being  roused,  takes  place  ;  in  such  cases,  if  there  was 
or  still  is  a  great  itching  or  frequent,  violent  gaping,  give  Opium,  if  neces- 
sary, repeated  for  two  or  six  hours. 

Merciirius  will  be  sufficient,  if  the  patient  has  not  already  abused  this  drug ; 
in  that  event  China  will  be  preferable,  which  may  be  followed,  in  obstinate 
cases,  by  Hepar,  Snlphtir  or  Lnchp.tis. 

Chiiut  may  advantageously  follow  Mercurius,  when  the  latter  remedy  is 
insufficient. 

GlxtuKimiUa  will  be  preferable  for  attacks  arising  from  a  fit  of  passion.  It 
may  be  followed  or  alternated  with  Nux  vomica. 

Sidphvr  and  Lachesis  will  be  most  suitable  for  very  irritable  persons,  in 
whom  the  symptoms  of  jaundice  manifest  themselves  upon  every  trifling 
occasion. 

Jaundice  produced  by  abuse  of  mercury  may  be  combated  by  China  and 
Hepnr,  or  Lachesis  and  Siilphiir, — that  arising  from  abuse  of  cinchona  by 
Mercnriv.t,  Belladonna,  Culcarea,  Nux  vomica;  and  that  caused  by  rhubarb, 
by  Chamomilla  or  Mercurins. 

Diflaculty  and  Pain  in  Making  Water, 

Is  either  caused  by  other   diseases    by  unclean  affections,   or  by  chronic 


256  TREATMENT   OF   DISEASES. 

afft'ctions  of  tbo  kidneys  or  the  bladder.  In  these  last  cases  consult  a  homoeo- 
pathic physician  ;  if  you  cannot  do  so,  use  the  remedies  below. 

It  is  strange,  to  observe  how  an.xious  most  people  are  about  their  having 
every  day  an  evacuation  from  the  bowels,  without  taking  much  notice  of  how 
often  they  pass  water.  Yet  it  is  ten  times  more  dangerous  to  go  one  day 
without  urinating,  than  to  be  a  whole  week  witliout  a  discharge  from  the 
bowels.  Never  postpone  the  former  l)usiness  for  any  consideration  whatever. 
Many  people  have  died  a  very  painful  death  from  their  having  too  long  waited 
to  urinate.  It  is  astonishing  how  sensible  people  can  run  such  a  great  risk  on 
account  of  e.xtreme  modesty  or  bashfulness.  while  attending  church,  parties, 
especially  sleighing  parties,  concerts,  or  other  assemblies,  and  when  travelling. 
I)o  not  be  in  a  liurry  when  urinating,  press  not  too  hard,  and  empty  the 
bladder  completely,  and  avoid  a  cold  draught. 

If  the  discharge  of  urine  becomes  for  some  time  more  and  more  scanty, 
take  every  day  a  warm  foot-bath,  and  drink  plenty  of  water,  but  beware  of 
diuretics,  as  gin,  juniperberries,  &c.  For  constant  desire  to  urinate,  pain, 
burning,  &c.,  use  applications  of  warm  water,  a  warm  bath,  and  mucilaginous 
drinks. 

Aconitum,  for  constant,  painful  desire  to  urinate,  with  the 
passMge  of  a  few  drops  or  no  urine  at  all,  the  urine  bright  red, 
dark,  turbid;  pressing,  cutting  pains  in  the  back  and  below  the 
ribs,  geueriilly  on  one  side  only,  upon  which  the  patient  cannot 
lie;  sometimes  pains  in  the  bladder;  fever,  thirst;  sometimes  the 
testicle  on  the  same  side  is  drawn  up,  or  the  thigh  is  numb;  also 
if  at  the  same  time  the  region  of  the  bladder  is  swollen  and 
painfid  to  tlie  touch,  if  the  pain  increases  when  the  urine  passes, 
if  the  urine  is  bloody  or  mixed  with  clots  of  blood.  After  Aco- 
7i>t"m,  give  Nux  vomica  or  Pulsatilla,  Apium  virus  or  Hyoscyamus. 

Pulsatilla,  if  there  are  pressing,  cutting  pains  and  redness  and 
heat  in  the  region  of  the  bladder.  Also,  for  females,  when  the 
courses  are  suppressed,  too  tardy  or  scanty. 

Arnica,  if  caused  by  a  blow  or  fall  on  the  bladder  or  back,  or 
by  a  violent  concussion  of  the  whole  body.  Sometimes  alter- 
nately witli  Aconitum. 

Niix  vomica,  for  persons  of  a  full  habit  and  who  are  fond  of 
liquor;  after  suppressed  piles,  with  burning,  pressing  and  ten- 
sion in  the  back,  and  the  region  between  the  ribs  and  hipbones. 

Belladonna,  if  the  pains  are  more  cutting,  extending  from  the 
back  to  the  bladder,  in  spells,  with  great  anxiety,  restlessness 
and  colic.  If  Belladonna  gives  only  temporary  relief,  take 
Hepa/r. 


CHAP.  X.       AFFECTIONS  OF  THE  ABDOMEN.  257 

Mercnrius  for  very  violent,  constant  desire  to  urina;e,  with 
perspiration  at  the  same  time ;  urine  dark  red,  soon  becoming 
turbid  and  offensive. 

If  the  urine  is  acrid,  excoriating  and  if  after  its  passage  there 
is  some  blood,  Mercnrius  may  be  alternated  with  Heimr. 

Gohcynthis^  if  the  urine  becomes  sticky  and  gelatinous,  and 
if  the  pains  are  insupportable. 

Apium  virus,  if  it  appears  after  a  partly  or  totally  suppressed 
eruption,  or  if  there  is  a  burning,  stinging,  or  itching  in  different 
parts;  if  the  whole  abdomen  is  very  sensitive  to  the  slightest 
tou-ih  ;  if  the  patient  feels  chilly  when  moving,  particularly  at 
night;  if  he  has  heat  without  thirst,  yawns  and  cannot  sleep. 

C^pa,  for  frequent  urging,  the  urine  passes  by  starts  or  only  in 
drops,  is  bright  red  and  burning;  after  a  cold  generally  or  from 
wet  feet  or  exposure  of  the  abdomen  to  cold  air  or  a  draught. 

If  the  water  passes  not  at  all,  or  only  very  slowly,  with  burn- 
ing in  the  urethra,  and  burning  heat  in  the  abdomen,  Camphor 
is  sometimes  very  useful,  and  also  when  caused  by  Spanish  flies, 
in  blisters  or  taken  internally ;  too  much  must  not  be  taken, 
smell  it  only  or  shake  it  with  warm  water,  and  take  of  that  by 
the  teaspoonful. 

If  it  occurs  after  suppressed  piles,  use  warm  injections,  Aconitvm,  Mercurhis, 
Ntix  vomica.  Sulphur,  or  Apium  virits.  If  worse  after  every  cold,  DuJcamnra 
or  Cepa;  if  the  burning  returns,  Carhovegetahilis  or  Arsenicwn.  A  complete 
cure  can  only  be  effected  by  a  long  and  careful  treatment  of  a  homoeopathic 
physician. 

The  passing  nf  bloody  urine  is  often  combined  with  other  complaints;  give 
the  above  remedies.  If  from  external  injuries.  Arnica;  from  spirituous 
liquors,  Nnx  vomica;  after  excesses,  China;  if  it  returns  often,  Hepar.  If 
accompanied  by  burning  pains  at  the  end  of  the  urethra,  if  the  testicles  are 
drawn  up ;  cramp-like  pains  in  the  knees,  thighs  and  groins ;  if  contracting 
and  cutting  pains  in  the  small  of  the  back  extend  to  the  navel,  give  PulsO' 
iilla. 

Rupture.    Hernia. 

Ruplure  may  be  produced  by  severe  exercise  on  horseback  or  on  foot,  by 
lifting  heavy  weights,  playing  on  wind  instruments,  vomiting,  costiveness,  the 
hooping  cough,  crying,  tight  clothing,  jumping,  &c. 

In  most  cases  it  can  be  cured  by  internal  remedies,  when  it  has  not  been 
neglected  too  long ;  the  physicians  of  the  old  school  deny  this— and  they  are 

s  23 


258  TREATMENT   OF    DISEASES. 

perfectly  correct  when  they  speak  of  their  own  medicines.  Trusses  have  been 
greatly  irn pro v-cil  in  this  country,  but  bad  articles  are  still  common.  It  is  of 
great  importance  to  get  a  good  truss,  for  a  bad  one  may  do  great  injury ;  if  it 
does  not  tit  exactly,  or  if  it  slips,  it  may  make  the  rupture  incurable.  A  good 
truss  must  not  be  troublesome,  although  in  the  beginning  it  may  fe«l  rather 
uncomfortable  ;  it  must  not  be  applied  until  the  hernia  has  been  entirely 
reduced,  when  the  truss  ought  to  keep  it  in  its  position.  If  the  patient  per- 
ceives, after  the  instrument  has  been  applied,  that  feomething  protrudes,  let 
him  take  it  oft',  lie  down  upon  his  back,  reduce  the  hernia  again,  and  replace 
the  truss.  When  the  hernia  protrudes  frequently,  the  truss  is  good  for 
nothing.  A  person  afflicted  with  hernia,  who  does  not  wear  a  truss,  oi  who 
wears  a  bad  one — who  exerts  himself  afterwards  too  much,  or  is  otherwise 
imprudent — exposes  himself  to  the  danger  of  having  incarcerated  or  strangu- 
lated hernia,  and  mortification.  It  is  also  of  great  importance  to  know  how 
a  hernia  should  be  reduced. 

In  order  to  accomplish  this  properly,  the  patient  should  lie  down  on  his 
back,  and  place  a  pillow  under  the  hips,  so  that  the  ruptured  part  may  be 
higher  than  the  rest  of  the  abdomen — he  should  then  incline  a  little  to  the 
side  on  which  the  rupture  appears,  to  relax  the  abdominal  muscles  as  much 
as  possible.  Another  person  can  reduce  the  hernia  better,  but  many  can  do 
it  for  Ihemselves  ;  it  is  best  done  by  pressing  the  left  hand  softly  against  the 
part  which  protrudes,  as  if  for  the  purpose  of  grasping  it ;  after  this,  press 
the  fingers  of  the  right  hand  on  the  top,  and  then  rub  it  softly,  by  passing 
the  fintrers  over  it ;  place  the  flat  of  the  hand  from  time  to  time  on  it.  and 
gradually  increase  the  pressure;  continue  these  efforts  patiently  for  half  an 
hour,  or  longer,  if  the  hernia  is  considerable.  Most  kinds  of  strangulated 
hernia  can  generally  be  reduced  with  facility,  after  the  proper  remedies  have 
been  taken,  particularly  Aconihim  or  Niix  tuDnica.  When  the  hernia  will  not 
bear  pressure,  medicine  must  first  be  taken  to  remove  the  irritability — after 
which  it  frequently  returns  of  itself  In  some  cases,  placing  a  rag  dipped  in 
warm  water  upon  the  tumor  will  effect  the  reduction.  S!ome  persons  apply 
cold  water  or  ice  in  a  calf's  bladder,  but  this  should  not  be  kept  on  long,  and 
should  not  be  used  at  all  when  the  parts  are  hot  and  red. 

For  violent  burning  in  the  belly,  as  from  red-hot  coals,  the  least  touch  giv- 
ing pain,  with  sickness  of  the  stomach,  bitter,  bilious  vomiting,  nervousness, 
and  cold  perspiration,  give  Aconl/uni.  which  may  be  repeated  if  the  pain  returns 
again  In  ca-e  Aniniluni.  only  alleviates  the  symptoms  for  a  short  time,  without 
any  other  good  effect,  dissolve  a  few  globules  of  Verafrnm  in  a  wine-glassful  of 
water,  and  give  every  two  hours  a  teaspoonful,  but  do  not  repeat  it  oftener 
than  three  times.  If.  after  this,  the  efforts  to  reduce  it  should  fail,  if  on  the 
left  side,  with  gre^t  pains  from  the  abdomen  to  the  rupture,  and  much  rum- 
bling of  wind,  give  Vfpa  ;  if  on  the  right  side,  lihvs.  If  accompanied  by 
sour  vomiting,  give  Sulphur,  which  should  also  be  given  in  the  beginning,  if 
the  vomiting  is  sour  instead  of  bitter  ;  leave  the  patient  to  rest  awhile,  and 
if  he  falls  asleep  do  not  disturb  him. 

If  the  jiain  is  less  violent  when  the  parts  are  touched,  and  the  vomiting 
lessened,  but  the  breathing  is  attended  by  much  difficulty;  when  taking  cold, 
or  overheating,  vexation  of  mind,  or  improper  diet  is  the  cause,  give  iS'?/i 
voi/iica ;  if  there  is  no  improvement  in  two  hours,  give  it  again  ;  when  the 
patient  becomes  red  in  the  face,  when  the  abdomen  is  distended,  or  when  bad 
enulling  eructations  and  vomiting  occur,  give  Opium  every  quarter  of  an  nour 
until  there  is  a  change  ;  if  the  vomiting  is  accompanied  by  cold  sweat,  or  if 
the  extremities  become  cold,  give  Veratnnn  ;  and  if  it  does  not  improve  after 
giving  it  twici,  give  B  lladoima.     As  soon  as  the  abdomen  becomes  sensitive, 


CHAP.  XI.  DISEASES   OF   WOMEN.  259 

and  cannot  endure  to  be  touched  without  pain,  give  Aconitum  and  Sulphur, 
as  above.     When  the  rupture  has  already  assumed  a  bad  appearance — when 
the  symptoms  are  very  alarming,  and  no  surgeon  can  be  had,  give  Lackesis, 
and  it'  this  gives  relief,  repeat  it  as  often  as  the  symptoms  get  worse  agaia 
if,  after  a  couple  of  hours,  there  is  no  improvement,  give  Arsenicum. 

In  all  cases  of  strangulated  hernia,  a  surgeon  should  immediately  be  sent 
for,  but  the  above  remedies  must  be  taken  in  the  meanwhile ;  if  they  prove 
efficacious  before  he  arrives,  so  much  the  better ;  if  not,  he  will  perform  the 
necessary  operation,  which  he  will  find  to  be  much  easier  after  the  patient  has 
taken  the  above  medicine,  as  numerous  experiments  have  proved.  If  he 
asserts  that  the  effect  of  the  medicine  has  been  injurious,  and  that  he  cannot 
now  succeed  as  well  as  he  might  have  done  if  the  medicines  had  not  been 
given,  he  says  what  is  not  true,  and  is  ignorant  or  prejudiced,  and  is  to  be 
distrusted. 

If  you  wish  to  cure  a  common  rupture  before  it  becomes  strangulated,  and 
causes  no  particular  trouble,  consult  a  homoeopathic  physician.  But  if  the 
rupture  is  of  recent  occurrence,  Rhus  will  give  relief  in  most  cases;  but  it 
must  not  be  repeated  within  a  week.  If  it  occurred  suddenly,  by  lifting  or 
great  exertion,  lie  down  quietly,  keep  as  quiet  as  possible,  with  a  pillow  under 
the  hips,  and  take  Rhus.  If  it  occurred  slowly  while  standing,  Cocculus. 
Kux  vomica,  if  otherwise  indicat-ed. 


CHAPTER    XI. 

DISEASES    OF  'WOMEN. 

Menstruation,  (the  Monthly  Illness.) 

Menstruation  is  often  delayed  beyond  the  period  at  which  we  have  reason 
to  expect  it  in  healthy  females,  or  when  it  does  appear,  it  is  frequently  preceded 
by  much  suffering,  and  followed  by  hysterics  and  other  complaints.  These 
complaints  are  generally  produced  by  diseases  which  existed  previously,  and 
can  only  be  cured  by  the  continued  attendauce  of  a  homoeopathic  physician. 
Affections  of  this  class  frequently  find  their  origin  and  support  in  the  mode 
of  living  ;  we  can  often  trace  them  to  insufficiency  of  clothing,  which,  espe- 
cially in  a  variable  climate  like  ours,  is  very  injurious  ;  many  of  the  attendant 
complaints  arise  from  other  causes,  which  medicine  alone  can  remove. 

The  age  at  which  this  function  first  makes  its  appearance,  in  temperate 
climates,  is  about  the  fifteenth  year  ;  though  in  some  instances  it  occurs  at  a 
much  earlier  age,  and  in  others  again  it  is  protracted  several  years  later.  In 
warm  climates  it  generally  appears  as  early  as  the  ninth  or  tenth  year,  and 
iu  cold  ones  not  often  earlier  than  the  twentieth. 

'I'he  average  duration  of  a  menstrual  period  is  about  five  days  ;  it  varies 
donsiderably,  however,  in  different  individuals,  in  some  continuing  for  seven 
or  eight  .ays,  and  iu  others  not  more  than  two  or  three.  It  generally  returns 
regularly  in  healthy  females,  every  twent3--eight  days,  and  usually  contmues 
antil  about  the  forty-fifth  year,  when  its  final  cessation  takes  place,  and  which 
U  usually  attended  with  a'good  deal  of  disturbance  of  the  general  health,  as 


260  TREATMENT   OF   DISEASES. 

well  as  of  irregularity  of  this  function  ;  hence  this  period  of  life  has  been 
called  the  "  critical  age,"  or  "change  of  life." 

Tardy   Menstruation. 

When  menstruation  is  tardy,  weak,  or  too  late  in  making  its  appearance, 
beware  of  all  quack  medicines  which  pretend  to  induce  the  discharge  ;  num- 
bers of  females  have  ruined  their  health  for  ever  by  using  such  medicines.  In 
many  cases  a  proper  attention  to  diet,  exercise  and  clothing  is  all  that  is 
necessary  to  produce  a  healthy  state  of  this  function.  Females  subject  to 
menstrual  irregularities  should  carefully  avoid  all  highly  seasoned  food,  and 
also  coffee,  green  tea,  and  all  spirituous  and  malt  liquors  as  beverages.  Those 
of  sedentary  habits  should  accustom  themselves  to  daily  exercise  in  the  open 
air,  either  by  walking  or  riding.  Sedentary  habits  and  close  application  to 
8tudy  are  both  highly  injurious.  The  clothing  should  be  warm,  adapted  to 
the  season,  and  changed  to  suit  the  variations  of  temperature.  It  is  of  the 
greatest  importance  to  keep  the  feet  dry  and  warm,  by  wearing  thick-soled 
shoes  and  warm  stockings,  especially  in  wet  or  damp  weather.  The  neglect 
of  this  precaution  has  destroyed  the  health  and  happiness  of  hundreds.  A 
cheerful  disposition  should  also  be  cultivated,  as  all  depressing  mental  and 
moral  emotions  have  an  injurious  tendency. 

There  are  cases,  however,  in  which,  in  addition  to  the  observance  of  the 
above  rules,  it  will  be  necessary  to  make  use  of  one  or  more  of  the  following 
remedies,  which  can  be  administered  without  injury  ;  if  they  fail  to  effect  the 
desired  object,  apply  to  a  homoeopathic  practitioner. 

Pulsatilla  is  especially  adapted  to  females  of  a  mild,  easy 
disposition ;  pain  in  the  lower  part  of  the  abdomen  and  across 
the  small  of  the  back ;  giddiness,  fulness  about  the  head  and 
eves,  paleness  of  the  face,  with  occasional  flushes  of  heat;  roar- 
ing in  the  ears,  or  partial  deafness,  coldness  of  the  hands  and 
feet,  and  disposition  to  general  coldness  ;  sour  taste  in  the  mouth 
after  eating;  nausea  and  vomiting;  alternate  crying  and  laugh- 
ter ;  sadness  and  melancholy ;  painfulness  of  the  breasts ;  palpi- 
tation of  the  heart,  especially  on  going  up  stairs  ;  loss  of  appetite, 
with  desire  for  acids  and  disinclination  to  exercise.  The  symp- 
toms are  worse  in  the  afternoon  and  before  midnight ;  the  pains 
frequently  change  from  one  place  to  another  ;  better  in  the  open 
air  and  while  exercising.  If  no  improvement  follows  after  a 
week  or  ten  days,  give  Sulphur. 

Gocculus^  when  the  patient  suffers  from  nervous  symptoms,  or 
against  contracting,  pinching  pain  in  the  lower  part  of  the  abdo- 
men, with  oppressed  respiration ;  and  also  against  a  scanty  dis- 
charge of  black  blood,  or  when  the  patient  is  weak,  with  great 
agitation,  sighing  or  groaning,  and  is  scarcely  able  to  speak. 


CHAP.  XI  DISEASES   OF  WOMEN.  261 

Belladonna^  if  there  is  rush  of  blood  to  the  head,  with  red- 
ness of  the  face,  sometimes  even  dark  red ;  bleeding  at  the  nose; 
redness  of  the  eyes  and  intolerance  of  light ;  giddiness,  espe- 
cially after  stooping ;  and  full,  bounding  pulse. 

Byronia  is  indicated  when,  instead  of  menstruation,  there  is 
bleeding  at  the  nose.  Lachesis  and  Lycopodium  are  also  suitable 
in  similar  cases. 

Cuprum,  in  cases  of  spasms,  or  threatened  spasms,  with  nau- 
sea and  vomiting,  or  when  there  are  cramps  in  the  extremities, 
with  screaming  ;  also  in  convulsions. 

Apium  virus,  if  the  menstrual  discharge  either  stops  entirely, 
or  flows  two  or  three  days,  stops,  and  flows  again,  and  so  on  ; 
if  the  right  side,  from  the  hip-bone  to  the  navel,  is  very  sensi- 
tive ;  if  violent,  cramp-like,  bearing-down  pains,  like  labor-pains, 
appear,  followed  by  a  scanty  discharge  of  dark  bloody  mucus ; 
or  if  the  females,  at  the  time,,  become  very  talkative,  thought- 
less, and  don't  mind  anybody. 

Nux  moschata,  for  females  of  a  changeable  disposition,  with 
an  irregular,  scanty,  black  discharge. 

Phosphorus  will  be  serviceable  in  females  of  a  delicate  consti- 
tution, with  slight  form,  weak  chest,  of  lively  disposition,  and 
predisposed  to  lung  diseases ;  when,  in  place  of  menstruation, 
expectoration  of  blood  in  small  quantities  occurs,  with  hacking 
cough  and  pains  in  the  chest. 

Arsenicum  is  applicable  in  cases  attended  with  great  weakness, 
also  in  swelling  of  the  face,  especially  round  the  eyes,  with  pale- 
ness of  the  complexion,  more  in  the  morning;  swelling  of  the 
feet  and  ankles  in  the  evening,  and  a  feeling  ot  heat  or  burning 
in  the  veins. 

Veratrum,  when  the  patient  has  cold  hands  and  feet,  disposi- 
tion to  diarrhoea,  &c. 

Sulphur  after  Pulsatilla^  when  the  latter  has  been  insufficient, 
and  also  after  any  of  the  above  remedies,  especially  if  the  patient 
complains  of  heat  in  the  head,  giddiness,  palpitation  of  the 
heart,  and  shortness  of  breath,  particularly  on  going  up  stairs; 


262  TREATMENT   OF   DISEASES. 

loss  of  appetite ;  sickness  at  the  stomach  after  eating ;  emaciation 
and  depression  of  miud. 

Suppression  of  the  Menses. 

By  this  terra  is  understood  the  sudden  stoppage  of  the  menstrual  flow. 
This  is  frequently  consequent  upon  some  accidental  cause,  such  as  exposure 
to  cold  or  dampness  without  a  sufficiency  of  clothing,  particularly  of  the  feet; 
putting  the  feet  in  cold  water;  powerful  mental  emotions,  &c.  It  also  often 
occurs  in  the  course  of  other  diseases,  especially  those  of  the  lungs,  liver  and 
womb,  in  rheumatism.  &c.  In  these  latter  instances  the  difiBculty  can  only 
be  removed  by  the  cure  of  the  primary  disease,  the  appropriate  treatment  of 
which  will  be  found  under  their  respective  heads. 

Aconitum  when  the  affection  arises  from  fright,  and  especially 
if  there  is  congestion  of  blood  to  the  head  or  chest,  with  redness 
of  the  face ;  giddiness,  nausea  or  faintness ;  throbbing  or  acute 
shooting  pains  in  the  head,  sometimes  attended  by  delirium  or 
stupor.  When  the  suppression  is  occasioned  by  fright,  this 
remedy  should  be  administered  immediately,  and  if  not  speedily 
followed  by  relief,  or  if  the  amelioration  is  but  partial  or  tempo- 
rary, it  may  be  succeeded  with  benefit  by  Opium  or  Veratmm. 

Bryonia  is  most  suitable  for  unmarried  females,  when  the 
suppression  is  followed  by  a  sensation  of  swimming  in  the  head, 
with  heaviness  and  pressure  towards  the  forehead,  aggravated 
by  stooping  and  by  motion  ;  pains  in  the  chest ;  dry  cougli  ; 
bleeding  at  the  nose ;  bitter  or  sour  eructations ;  pain  in  tlie  pit 
of  the  stomach  after  eating  ;  rising  of  food  ;  pains  in  the  small 
of  the  back,  and  also  pains  of  a  drawing  character  in  the  lower 
part  of  the  abdomen  ;  constipation. 

Bxlladonivi  will  be  serviceable  after  Aconitum  in  plethoric 
subjects,  when  there  is  congestion  to  the  head,  bleeding  at  the 
nose,  and  for  most  of  the  symptoms  mentioned  under  Aconitum 
when  the  latter  is  insufficient. 

Nux  moschata,  if  caused  by  fatigue  and  taking  cold  at  the  same 
time,  iiarticularly  from  wet  feet. 

Pulsatilla,  however,  is  the  chief  remedy  ia  this  affection,  and 
will  afford  relief  in  the  majority  of  instances,  especially  when 
the  suppression  results  from  the  effects  of  cold  or  a  chill  by  ex- 
posure to   dampness,  and   the   patient  suffers  from  headache, 


I 


CHAP,  XI.  DISEASES   OF  WOMEN.  263 

chiefly  confined  to  one  side,  with  shooting  paiLs  extending  to 
the  face,  ears  and  teeth ;  palpitation  of  the  heart ;  feeling  of 
'  suffocation;  flashes  of  heat;  nausea  or  vomiting;  disposition  to 
diarrhoea  ;  pressure  in  the  lower  part  of  the  abdomen  ;  frequent 
desire  to  void  urine  ;  and  whites.  It  is  best  adapted  to  females 
of  a  mild,  easy  disposition,  with  inclination  to  melancholy  and 
tears, 

Veratrtim  for  nervous  headache ;  hysterical  affections ;  fre- 
quent nausea  and  vomiting  ;  pale,  earthy  color  of  the  face ; 
coldness  of  the  hands  and  feet,  or  nose  ;  great  weakness,  with 
fainting  fits. 

/Sulphur,  against  pressive  headache  chieffy  in  the  back  part 
of  the  head,  extending  to  the  nape  of  the  neck,  or  one- 
sided headache,  or  pain  over  the  eyes,  with  heat  and  throb- 
bing in  the  head ;  heaviness  of  the  head ;  confusion  of  the 
head  ;  giddiness  ;  dimness  of  vision ;  bluish  circles  round  the 
eyes;  pimples  on  the  forehead  and  round  the  mouth,  and  red 
spots  on  the  cheeks ;  voracious  appetite ;  sour  stomach ;  soar 
and  burning  eructations;  fulness  and  heaviness  in  the  stomach 
and  abdomen;  constipation,  with  ineffectual  efforts  to  stool,  dis- 
position to  piles;  sometimes  loose,  slimy  evacuations;  spasms 
in  the  abdomen;  whites;  numbness  of  the  limbs;  great  dispo- 
sition to  take  cold ;  difficulty  of  breathing ;  pain  in  the  loins ; 
great  depression  after  talking ;  fatigue  and  weakness  of  the 
limbs ;  irritability  of  temper  or  disposition  to  melancholy  and 
tears. 

In  cases  of  long  standing,  especially  when  occurring  in  debili- 
tated subjects,  China,  Causticum,  Natrum  muriaticum,  and  Ar- 
senicum will  be  useful,  but  it  is  much  better  to  consult  a  chy- 
sician. 

Too  copious  Menstruation. 

When  the  menstrual  discharge  is  excessive,  or  cor  tinu^« 
longer  than  usual,  and  is  attended  by  pains  in  the  baclj  loin5«, 
and  abdomen,  which  resemble  those  of  labor,  it  becomea  -easa- 
sary  to  lessen  it,  and  also  to  prevent  its  recurrence. 


264  TREATMENT   OF   DISEASES. 

Best  in  the  horizontal  posture  is  also  in  most  cases  iftiperative. 

Ipecacuanha^  for  too  great  a  flow,  and  also  in  flooding  after 
labor,  especially  when  there  is  a  profuse  discharge  of  bright  red 
blood. 

Crocus  is  one  of  the  most  valuable  remedies  in  this  complaint, 
particularly  when  the  discharge  is  dark-colored,  clotted  and 
very  copious,  and  the  menses  have  returned  too  soon. 

Platinum  will  be  useful  in  cases  in  which  the  menstrual  dis- 
charge is  too  great,  and  consists  chiefly  of  dark-colored  blood, 
and  is  attended  with  bearing  down  pains,  venereal  and  general 
excitability. 

Chamomilla  will  be  beneficial  when  the  discharge  is  dark- 
colored  and  clotted,  accompanied  by  griping  pains  which  ex- 
tend from  the  small  of  the  back  forward  towards  the  abdomen; 
thirst;  coldness  of  the  extremities,  and  sometimes  fainting. 

Nux  vomica^  when  the  menstruation  is  too  copious,  and  re- 
turns before  the  usual  time;  when  it  continues  too  long,  or  stops 
and  returns  again.  It  is  particularly  adapted  to  females  who 
make  too  free  use  of  coffee,  wine  or  other  stimulants,  all  of 
which  articles  should  be  strictly  prohibited  for  several  months. 

Ignatia  is  most  serviceable  in  cases  in  which  the  discharge 
continues  too  long,  and  is  frequently  attended  by  yawning 
and  hysterical  symptoms. 

China,  in  cases  of  great  debility  in  consequence  of  too  copious 
or  too  long  continued  menstrual  discharge.  It  may  be  given 
with  advantage,  after  the  discharge  has  been  checked  by  other 
remedies,  and  the  patient  suffers  from  weakness  only. 

Sulphur,  given  durmg  the  intervals  two  or  three  times,  allow- 
ing a  week  to  elapse  between  the  doses,  will  often  be  beneficial, 
after  the  failure  of  other  remedies.  Calcarea,  administered  in 
the  same  manner,  will  frequently  be  found  successful. 

Painful  Menstruation. 

Belladonna  is  indicated  when  there  is  severe  pain  in  the  back, 
and  strong  bearing  down  in  the  lower  part  of  the  abdomen,  as 
j'l  the  parts  were  about  to  fall  out,  accompanied  with  violent  cou- 


CHAP.  XI.  DISEASES   OF  WOMEN.  265 

gestion  of  blood  to  the  head,  confusion  of  sight,  frightful  visions, 
screaming,  redness  and  bloated  appearance  of  the  face  and  fre- 
quent, ineflectual  efforts  to  stool  with  much  straining. 

Chamomilla,  when  the  pains  resemble  labor  pains,  with 
pressure  from  the  small  of  the  back  toward  the  front  of  the 
abdomen  and  downward:  colic,  with  tenderness  of  the  lower 
part  of  the  abdomen  when  touched,  and  discharge  of  dark-colored 
and  coagulated  blood. 

Verairum,  against  menstrual  colic,  with  nervous  headache; 
nausea  and  vomiting  ;  coldness  of  the  hands,  feet  or  nose  ;  great 
weakness  ;  fainting  fits  and  diarrhoea. 

Coffea  will  be  beneficial  if  there  is  much  nervous  excitement; 
colic,  with  feeling  of  fulness  and  pressure  in  the  bowels,  and 
violent  spasms  which  extend  to  the  chest;  delirium;  wringing 
of  the  hands,  grinding  of  the  teeth  ;  violent  screaming ;  difficulty 
of  breathing  and  groaning;  coldness  of  the  whole  body,  numb- 
ness and  stiffness. 

Lachesis  is  of  great  value  in  difficult  menstruation,  especially 
when  accompanied  by  diarrhoea  with  violent  straining,  which 
generally  precedes  the  menstrual  flow,  and  continues  after  it  has 
ceased. 

Cocculics,  when  there  are  spasms  in  the  abdomen,  cramps  in 
the  chest ;  flatulency  ;  nausea  and  faintness,  and  pressive  colic. 

Causticum,  if  there  are  cutting  pains  in  the  small  of  the  back; 
spasms  in  the  abdomen;  hysterical  symptoms,  and  yellowish 
complexion. 

Pulsatilla  is  serviceable  when  there  is  a  feeling  of  heaviness 
as  if  from  a  stone  in  the  lower  part  of  the  abdomen ;  violent 
pressure  in  the  lower  part  of  the  abdomen  and  small  of  the  back, 
attended  with  a  sensation  of  drawing  and  numbness  extending 
down  the  thighs;  the  latter  feeling  is  felt  more  particularly 
when  the  patient  is  in  the  sitting  posture;  pressure  in  the  rec- 
tum with  ineffectual  efforts  to  evacuate;  frequent  inclination  to 
pass  water. 

Nux  vomica  is  most  useful  in  relieving  writhing  pains  in  the 
abdomen,  accompan'ed  by  nausea,  or  pains  in  the  back  and  loins 

24 


266  TREATMENT   OF   DISEASES. 

as  if  dislocated ;  feeling  as  if  bruised  ou  the  bones  of  the  pubes; 
spasms  and  pricking  in  the  lower  part  of  the  abdomen ;  parox- 
ysrjs  of  pressing  and  drawing  pains,  frequent  desire  to  make 
water,  and  sensation  in  the  bowels  as  if  they  would  burst. 

Green  Sickness. 

This  affection  commonly  occurs  in  young  girls  at  the  period  of  pubertj — 
about  the  fourteenth  year — and  is  most  generally  owing  to  some  obstruction 
to  the  first  menstruation.  A  similar  condition  may,  however,  be  induced  in 
females  of  a  more  advanced  age,  and  of  delicate  constitution,  by  excessive  loss 
of  blood  or  other  fluids,  sedentary  occupation,  exposure  to  dampness  and  cold, 
insufficient  food  and  clothing  ;  mental  emotions  of  an  unpleasant  kind,  &c. 

The  disease  may  be  distinguished  by  excessive  paleness  of  the  complexion 
and  lips,  the  latter  appearing  at  times  almost  white — sometimes  alternately 
with  redness  and  flushing  of  heat ;  general  mental  and  physical  languor  ;  the 
patient  complains  of  being  weak  and  tired  ;  the  breathing  is  hurried  ;  the 
slightest  exertion  produces  panting  respiration  and  violent  palpitation  of  the 
heart ;  this  is  particularly  noticeable  by  directing  the  patient  to  go  up  stairs 
quickly  ;  the  lower  extremities  often  become  swollen  ;  the  appetite  depraved, 
with  a  longing  after  chalk,  charcoal,  &c. ;  flatulent  distension  of  the  abdomen, 
particularly  after  meals  ;  costiveness  or  diarrhoea  ;  cough,  sometimes  attended 
by  expectoration  of  dark-colored,  clotted  blood,  and  emaciation. 

Pulsatilla  is  best  adapted  to  females  of  a  mild,  easy  disposi- 
tion, disposed  to  sadness  and  tears;  and  particularly  if  the  dis- 
ease was  produced  by  exposure  to  cold  or  dampness,  and 
attended  by  frequent  attacks  of  one-sided  headache,  with  pains 
shooting  to  the  ears  and  teeth;  sometimes  the  pain  changes 
suddenly  from  one  side  to  the  other;  aching  in  the  forehead, 
and  pressure  on  top  of  the  head  ;  sallow  complexion  alternating 
with  redness  and  flushes  of  heat ;  difficulty  of  breathing  and 
feeling  of  suftbcation  after  the  slightest  exertion  ;  palpitation  of 
the  heart;  coldness  or  heat  of  the  hands  and  feet;  looseness  of 
bowels;  whites;  nausea  and  vomiting;  sensation  of  weight 
in  the  abdomen,  periodical  expectoration  of  dark,  clotted  blood  ; 
hunger  with  repugnance  to  food,  and  great  fatigue,  especially 
in  the  legs. 

Sul'jjliur  should  have  the  preference  where  there  is  pressive 
pain  in  the  back  of  the  head,  extending  to  the  neck;  congestion 
to  the  head  with  throbbing  pains ;  humming  in  the  head ;  pim- 
ples round  the  mouth  and  on  the  forehead  ;  paleness  of  the  face, 
with  red  spots  on  the  cheeks;  emaciation;  voracious  aj)petite; 


CHAP.  XI.  DISEASES   OF   WOMEN.  267 

sour  and  burning  eructations;  pressive  fulness  ai  d  heaviness  in 
the  stomach  and  abdomen ;  irregularity  of  the  bowels ;  pain  in 
the  loins ;  difficulty  of  breathing ;  great  depression  after  talking; 
fatigue,  especially  in  the  legs;  great  liability  to  take  cold.  It 
is  most  suitable  for  irritable  and  passionate  persons  or  those 
inclined  to  sadness  and  tears. 

Bryonia^  when  there  is  frequent  congestion  to  the  head  or 
chest;  bleeding  at  tlie  nose;  chilliness,  sometimes  alternating 
with  heat;  dry  cough ;  colic;  constipation;  bitter  taste  in  the 
mouth;  yellowish  coated  tongue;  feeling  of  aching,  as  if  from 
a  blow,  in  the  stomach. 

Calcarea  carhonica  will  frequently  effect  a  cure  after  the  failure 
of  other  remedies,  when  the  difl&culty  of  breathing  is  very  great; 
with  swelling  of  the  extremities;  excessive  emaciation,  &c. 

Ferrum  will  be  serviceable  after  or  in  alternation  with  the 

latter,  when  the  sallowness  continues  with  great  debility,  want 

of  appetite,  nausea,  &c.     When  the  complexion  is  very  sallow, 

the  lips   bloodless  and   pale,   the    heart's    action    palpitating, 

irregular. 

This  disease,  however,  should  in  all  cases  be  under  the  management  of  a 
homcEopathic  practitioner,  as  it  is  one,  which,  if  neglected  or  improperly 
treated,  will  destroy  the  health  and  consequently  the  happiness  of  the  patient. 

Cessation  of  the  Menses. 

The  period  at  which  menstruation  ceases  is  about  the  forty-fifth  year  of 
age,  though  in  some,instances  the  "  change"  takes  place  several  years  earlier, 
and  in  others  again,  it  may  be  postponed  to  the  fiftieth  year,  and  even  later. 

Women  of  delicate  constitution  and  those  who  "  live  high"  and  whose  habita 
are  sedentary,  generally  experience  this  change  earlier  than  those  of  a  more 
robust  organization,  or  those  who  live  temperately  and  make  use  of  plenty  of 
exercise,  especially  in  the  open  air. 

As  the  "  chantre  of  life"  approaches,  the  menses  generally  become  irregular, 
both  as  regards  the  time  of  their  return  and  the  quantity  of  the  discharge. 
They  mav  either  return  too  soon,  or  the  interval  may  be  much  longer  than 
usual,  the  quantity  discharged  is  at  times  much  smaller  than  common,  and 
at  others  again  it  may  be  so  profuse  as  to  amount  to  a  hemorrhage.  Occa- 
sionally  the"  flow  comes  on  suddenly  and  quite  unexpectedly,  continues  for  a 
short  time,  and  then  stops  without  being  followed  by  any  of  the  ordmary 
symptoms  of  suppression.  Sometimes  the  menstrual  fluid  discharged  is 
largelv  mixed  with  mucus. 

in  the  maiority  of  women,  while  this  change  is  in  progress,  there  is  more 
or  less  disturbance  of  the  general  health,  giving  rise  to  headache;  vertigo ; 
flushes  of  heat ;  paleness  and  debility  ;  nervousness  ;  irregularity  in  the  urinary 


268  TREATMENT   OF   DISEASES. 

discharge  ;  sometimes  it  is  frequent  and  in  large  quantities,  at  others  scanty 
and  high-colored  ;  pain  in  the  back  and  loins,  which  extends  down  the  thighs 
with  a  creeping  sensation;  heat  in  the  lower  part  of  the  abdomen  ;  occasional 
swelling  of  the  abdomen  ;  swelling  of  the  extremities  ;  piles  and  pruritus  (vio- 
lent itching  of  the  privates). 

In  some  instances,  however,  the  menses  gradually  cease  without  being 
attended  by  any  of  the  unpleasant  symptoms  enumerated  above.  Frequently 
after  the  complete  cessation  of  menstruation  the  health  becomes  better  than 
it  had  ever  been  previously. 

According  to  the  symptoms  select  Pulsatilla,  Sulphur,  Cocculns  or  Lachesis. 

Very  important  is  here  a  proper  attention  to  diet,  exercise,  clothing,  &c. 
The  food  should  be  light  and  digestible,  and  everything  of  a  stimulating 
nature  carefully  avoided.  Daily  exercise  in  the  open  air,  either  by  walking 
or  riding,  and  also  bathing,  will  be  productive  of  great  advantage.  The 
clothing  should  be  warm  and  comfortable,  and  changed  to  suit  the  weather. 

Whites,  Leucorrhoea. 

This  term  is  applied  to  a  discharge  of  mucus,  generally  whitish,  proceeding 
from  the  vagina.  It  is  of  so  common  occurrence  that  many  women  and  some- 
times even  small  children  are  subject  to  it.  At  first  the  patient  notices  a 
slight  discharge  of  whitish  matter,  which  escapes  from  the  vagina  drop  by 
drop,  and  is  unaccompanied  by  any  unpleasant  sensation.  If  neglected,  as  is 
most  generally  the  case  in  the  beginning,  the  discharge  increases  iu  quantity, 
and  in  some  cases  it  becomes  excessive. 

The  quality,  too,  is  changed,  and  it  becomes  greenish,  yellowish  or  of  a  dark- 
brown,  almost  black  color,  and  gives  rise  to  pains,  excoriation,  and  ulcers  of  the 
parts.  The  general  health  also  suffers ;  the  appetite  fails  ;  the  pulse  becomes 
weak ;  the  face  pale  and  bloated  ;  the  eyes  become  dull  and  heavy,  and  are 
surrounded  by  yellowish  circles  ;  vision  is  impaired  ;  there  is  constant  pain  in 
the  back  and  loins  ;  lowness  of  spirits  ;  excessive  debilitj',  &c. 

The  exciting  causes  of  leucorrhoea  are  numerous  ;  anything  which  affects 
the  general  health  may  produce  it ;  sometimes  it  is  owing  to  the  presence  of 
foreign  bodies  in  the  vagina  ;  some  of  the  worst  cases  of  the  disease,  for  in- 
stance, owe  their  origin  to  a  long  continued  use  of  an  instrument  intended  to 
remedy  falling  of  the  womb.  Such  cases  can  never  be  cured  until  the 
exciting  cause  is  removed.  The  disease  is  sometimes  owing  to  inattention  to 
cleanliness. 

In  the  treatment  of  this  affection  much  benefit  will  be  derived  from  syring- 
ing the  parts  frequently  with  cold  water. 

Calcarea  carb.  is  particularly  suited  to  women  of  a  lymphatic 
constitution,  light  complexion,  and  who  have  copious  menstrua- 
tion which  is  liable  to  return  too  soon  ;  when  the  discharge  is 
milky,  often  passes  with  the  urine,  and  on  lifting,  and  usually 
comes  on,  or  is  worse  immediately  before  menstruation;  is  often 
attended  by  itching  and  burning ;  shooting  pains  through  the 
parts,  and  falling  of  the  womb.  It  is  also  valuable  in  the  corro- 
sive leucorrhoea  of  young  children. 

Pulsatilla  when  the  discharge  chiefly  takes  place  immediately 


CHAP.  XI.  DISEASES   OF  WOMEN.  269 

before,  daring  and  after  menstruation;  when  produced  by  fright, 
and  when  occurring  in  young  girls  who  have  not  yet  menstru- 
ated; the  discharge  thick,  like  cream,  sometimes  corrosive  and 
attended  by  itching  of  the  parts. 

Cocculus  if  the  discharge  is  mixed  with  blood  during  preg- 
nancy ;  or  like  the  water  meat  has  been  washed  in,  attended  by 
colic  and  flatulency,  and  taking  place  principally  before  and 
after  menstruation. 

Causticum  against  profuse  leucorrhoea,  having  the  smell  of  the 
menses,  or  which  flows  at  night,  attended  by  pain  in  the  back 
and  loins;  sallow  complexion,  and  excoriation  of  the  parts. 

Natriim  muriaticuTn,  when  the  discharge  is  copious,  and  con- 
sists of  transparent,  whitish  and  thick  mucus,  or  is  acrid,  with 
j^ellow  color  of  the  face ;  also  when  accompanied  by  headache, 
disposition  to  diarrhoea,  with  slimy  evacuations  and  colic. 

Sulphur,  for  inveterate  cases  of  leucorrhcea;  the  discharge 
sometimes  yellowish,  burning  and  corrosive,  and  preceded  by 
colic ;  also  when  it  results  from  repelled  eruptions  or  ulcers. 

Remarks  on  Pregnancy. 

The  woman  whose  lot  it  is  to  bear  within  herself  a  living  being,  occupies  a 
position  of  the  highest  interest. 

During  this  period,  therefore,  she  should  consider  that  her  most  trifling 
actions  may  exert  a  great  influence  on  the  future  physical,  and  we  may  add, 
moral  and  intellectual  condition  of  a  being  bound  to  her  by  the  fondest  ties, 
• — a  being  that  has  a  right  to  expect  from  her,  as  its  parent,  so  far  as  it  lies 
in  her  power  to  give,  a  sound  constitution.  Therefore,  to  realize  such  an 
object,  it  is  the  duty  of  the  mother  to  pay  all  possible  attention  to  her  diet, 
txercise  and  chess. 

Diet.  With  regard  to  diet  she  should  observe  the  greatest  simplicity;  her 
food  should  consist  simply  of  substances  of  a  purely  nutritive  nature,  and 
everything  medicinal  or  stimulating,  such  as  food  prepared  with  much  season- 
ing, spirituous,  vinous  and  fermented  liquors,  strong  teas  and  coffe,  should  for 
the  most  part  be  avoided. 

8he  should  also  guard  against  taking  too  great  a  quantity  of  nourishment, 
as  excesses  of  this'kind  may  give  rise  to  dyspeptic  and  other  troublesome 
symptoms ;  which,  besides  being  a  source  of  much  sufi'ering  to  herself,  may 
seriously  affect  the  health  of  her  future  offspring. 

Exercise.  With  regard  to  exercise,  here  let  us  say,  that  in  order  to  enjoy  a 
good  degree  of  healt'h,  it  is  absolutely  indispensable  during  the  term  of  preg- 
nancy. Passive  exercise,  such  as  riding  in  a  carriage,  is  not  only  insufficient 
at  all  times,  but  has  often  been  found  particularly  injurious  towards  the  end 
of  pregnancy ;  and  is  frequently  the  case  of  premature  or  abnormal  births. 

24* 


270  TREATMENT   OF   DISEASES, 

The  most  desirable  kind  of  exercise  is  walking  in  the  open  air,  such  exer- 
cise, must  not,  however,  interfere  with  the  process  of  digestion,  and  is,  there- 
fore, most  suitable  two  or  three  hours  after  a  moderate  meal  at  noon,  and 
during-  warm  weather  towards  evening  ;  care  being  taken  to  avoid  the  damp- 
ness of  the  night  air  by  returning  home  early. 

Dress-  The  dress  should  be  strictly  suited  to  the  season  and  not  produce 
the  least  pressure  on  any  part  of  the  body ;  even  the  garters  should  be  worn 
loosely.  Tiglit  lacing  is  highly  injurious  ;  it  must  be  evident  to  the  plainest 
understanding,  that  serious  injury  to  the  health  of  both  mother  and  child 
must  often  result  from  a  continual  and  forcible  compression  of  the  abdomen 
wliile  nature  is  at  work  in  gradually  enlarging  it  for  the  accommodation  and 
development  of  the  foetus;  and  the  result  is,  no  doubt,  that  there  are  many 
who  owe  their  deformities  to  the  vanity  of  their  mothers. 

Derangements  during  Pregnancy. 

Although  the  state  of  pregnancy  is  one  perfectly  natural  and  perfectly 
healthy,  yet  in  consequence  of  the  existence  of  constitutions  naturally  weak, 
and  of  those  disordered  by  the  excessive  use  of  medicines  prescribed  under 
the  old  system,  and  from  numerous  other  causes,  it  often  happens  that  this 
condition  is  attended  by  many  deviations  from  health,  which  it  may  be  well 
to  notice,  together  with  the  best  means  for  removing  them. 

The  practice  of  bleeding,  which  is  so  prevalent  among  old  school  prac- 
titioners, for  the  general  fulness  of  the  system  and  tendency  to  congestions, 
especially  to  the  head,  which  usually  attend  pregnancy,  is  in  all  cases  to  be 
deprecated,  as  it  not  only  fails  in  effecting  the  object  aimed  at,  but  is  besides 
positively  injurious,  inasmuch  as  it  reduces  the  strength  and  vigor  of  the 
})atient ;  thereby  rendering  her  much  more  liable  to  miscarriages,  convulsions, 
nervous  disorders,  flooding,  A'C.  The  more  judicious  and  intelligent  of  these 
old  school  physicians  are  abandoning  this  most  reprehensible  practice.  Gene- 
rally a  proper  attention  to  diet  and  exercise  as  recommended  in  the  previous 
articles,  will  prevent  any  serious  mischief  resulting  from  this  tendency  to 
fulness.  Or  in  case  that  should  be  insufficient,  some  of  the  medicines  recom- 
mended under  the  appropriate  heads  will  accomplish  the  desired  purpose. 

'I'he  following  are  some  of  the  most  common  of  the  deviations  from  health 
which  are  met  with  during  pregnancy. 

Mkn-stru.a.tion. — The  continuance  of  menstruation  during  pregnancy, 
though  of  comparatively  rare  occurrence,  is  occasionally  met  with,  and  may 
be  considered  rather  a  deviation  from  the  ordinary  course  of  nature,  than  an 
actual  disease. 

When  a  cause  of  suffering  to  women  by  being  too  long  continued  or  pro- 
fuse, producing  debility,  or  when  attended  by  pain,  some,  of  the  following 
medicines  may  be  required  :  Crcrns,  P/a/ir,um,  Cocculus,  or  Phosphorus. 

For  their  particular  indications,  and  also  for  other  remedies,  see  "Painful 
Menstruation"  and  "Too  Copious  Menstruation." 

Vertigo  a.vd  Headache. — Very  often  during  pregnancy  women  are  troubled 
with  fulness,  giddiness  and  pain  in  the  head.  Sometimes  these  symptoms  com- 
mence a-  early  as  the  third  or  fourth  week  after  conception.  The  feeling  of 
giddiness  or  lightness  is  frequently  accompanied  by  dulness  and  a  disinclina- 
tion to  active  emjiloyment ;  sleepiness  or  sometimes  sleeplessness;  dimness  of 
eight  after  stooping ;  flashes  of  sparks  before  the  eyes ;  disposition  to  fall 


CHAP.  XI.  DISEASES   OF  WOMEN.  271 

forward  when  stooping;  headache,  with  a  feeling  of  weight  on  the  top  of  the 
head  or  in  the  back  of  the  neck  ;  palpitation  of  the  heart ;  nervousness,  trem- 
bhngs,  &c.     These  .symptoms  are  commonly  worse  in  the  morning. 

Aconitum  is  best  adapted  to  persons  of  a  full  habit,  with  a 
florid  complexion  and  nervous  temperament,  and  especially  if 
there  is  giddiness  on  rising  from  a  seat  as  if  intoxicated,  often 
causing  one  to  fall;  faintness  and  dimness  of  vision  on  rising 
from  a  recumbent  posture  ;  determinatiun  of  blood  to  the  head, 
and  pre.-^sure  in  the  forehead  ;  stupefying  pains  in  the  head ;  eyes 
red  and  sparkling,  with  intolerance  of  light;  black  spots  before 
the  eyes. 

Belladonna^  against  congestion  to  the  head,  with  vertigo,  stag- 
gering and  trembling  ;  buzzing  in  the  ears ;  intolerance  of  noise  ; 
heaviness  and  pressive  pain  on  top  of  the  head  or  in  the  fore- 
head, over  the  eyes ;  pain,  with  a  sense  of  expansion  of  the 
head,  and  violent  throbbing  of  the  large  .arteries  of  the  neck; 
redness  in  the  face;  soreness  and  redness  of  the  eyes;  sparks 
before  the  eyes;  objects  appear  double.  The  symptoms  are 
mostly  worse  in  the  morning. 

Glonoine,  see  what  has  been  said  of  this  remedy  under 
"  Headache." 

Nux  vomica  is  most  suitable  for  women  of  a  hasty  temper, 
and  those  who  are  of  sedentary  habits,  or  addicted  to  the  use  of 
wine  or  coffee.  The  symptoms  are  generally  aggravated  in  the 
morning,  and  better  in  the  open  air.  It  is  valuable  against 
giddiness  with  a  feeling  of  confusion  in  the  head  ;  with  cloudi- 
ness of  sight  and  buzzing  in  the  ears;  pains  in  the  head  of  a 
tearing,  drawing  or  jerking  character,  or  periodical  pains;  con 
stipation,  insipid  or  acid,  bitter  and  putrid  taste,  &;c. 

Opium,  against  giddiness  on  rising  from  a  stooping  or  sitting 
posture ;  giddiness,  with  stupidity  as  if  from  a  debauch ;  great 
drowsiness;  imperfect  sleep,  with  puffed  face,  thick,  heavy 
breathing,  and  illusions  of  the  imagination. 

Platimim,  if  there  is  headache,  which  increases  gradually 
until  it  becomes  violent,  and  then  diminishes  in  the  same  way, 
an:i  also  for  headache  produced  by  vexation  or  passion ;  constant 


272  TREATMENT   OF   DISEASES. 

disposition  to  spit,  the  saliva  being  tasteless  or  sweetist.  It  is 
particularly  valuable  in  sufferings  of  nervous  and  hysterical 
women.  The  symptoms  are  worse  during  repose,  and  relieved 
by  motion. 

Pulsatilla,  against  giddiness,  which  is  worse  after  stooping, 
with  momentary  blindness  and  staggering,  throbbing  and  shoot- 
ing pains  in  the  head ;  one-sided  headache ;  headache  every 
other  day.  The  sufferings  are  sometimes  attended  with  numb 
ness  of  the  limbs,  are  worse  in  the  afternoon  and  evening,  and 
better  in  the  morning.  It  is  most  suitable  for  women  of  a  mild 
disposition. 

Sulphur,  if  there  is  congestion  of  bli~)od  to  the  head,  with  pul 
sative  pains  and  sensation  of  heat  in  the  head,  vertigo  and  stag- 
gering, principally  when  seated,  or  after  a  meal,  attended 
sometimes  by  nausea,  fainting,  weakness,  and  bleeding  from  the 
nose  ;  confusion  of  the  head,  with  difficulty  in  meditating,  worse 
in  the  morning  or  evening;  one-sided  headaches,  or  headaches 
occupying  the  top  of  the  head,  or  the  back  part,  or  the  forehead 
over  the  eyes,  with  dimness  of  sight;  periodical  or  intermittent 
headaches,  worse  in  the  morning  or  evening,  or  at  night.  The 
oains  in  the  head  are  mostly  aggravated  by  movement,  walking 
n  the  open  air,  and  meditation. 

After  taking  the  above  medicines,  the  patient  should  wait 
several  days  to  observe  the  effect.  If  improvement  follows, 
nothing  else  should  be  taken  as  long  as  it  continues.  If  the 
symptoms  grow  worse  again,  the  same  medicine  should  be 
repeated.  When  there  is  no  improvement,  another  remedy 
should  be  selected. 

MoRMxa  Sickness. — Xausea,  vomiting,  heartburn,  &c.,  are  at  the  same 
time  the  most  common  and  the  most  distressinof  accompaniments  of  prog- 
nancy.  They  usually  begin  five  or  six  weeks  after  conception,  and  continue 
until  the  sixteenth  week.  After  which  time  they  generally  abate  or  cpase 
entirely,  in  some  cases,  however,  they  continue  with  but  slight  modification 
to  the  end  of  pregnancy. 

These  troublesome  symptoms  commonly  take  place  immediately  on  rising 
from  bed  in  the  morning,  and  are  often  exceedingly  harassing  for  two  oi 
three  hours.     Occasionally  they  return  again  in  the  evening. 

Ipecacuanha   should    be   given,    when   there   is   nausea   and 


CHAP.  y.I.  DISEASES   OF   WOMEN.  273 

vomiting,  witb  great  uneasiness  in  the  stomach  and  epigastrium  • 
vomiting  of  drink  and  undigested  food;  bilious  vomitiuo-  and 
tendency  to  relaxation  of  the  bowels. 

Nux  vomica,  when  there  is  nausea  and  vomiting,  chiefly  in  the 
morning,  while  eating,  or  immediately  after  eating  or  drinkino-* 
acid  and  bitter  eructations  and  regurgitations;  violent  hiccough • 
waterbrash  ;  pain  and  sensation  of  weight  in  the  pit  of  the 
stomach  ;  constipation,  and  irritable  temper. 

Arsenicum,  if  there  is  excessive  vomiting,  especially  after 
eating  or  drinking,  with  attacks  of  fainting;  great  weakness  and 
emaciation. 

Pulsatilla.  Nausea  after  eating;  vomiting  of  food;  heart- 
burn; eructations,  acid,  bitter,  or  with  the  taste  of  fiod;  de- 
praved appetite,  or  craving  for  acids,  wine,  &c. ;  whitish  coated 
tongne. 

Natrum  muriaticum  will  be  useful  in  obstinate  cases,  accompa- 
nied by  loss  of  appetite  and  taste ;  constant  flow  of  water  from 
the  mouth  ;  waterbrash,  acid  stomach  ;  pain  and  soreness  at  the 
pit  of  the  stomach. 

Nux  moschata,  see  this  and  Veratrum,  under  "  Affections  of 
the  Stomach." 

Phosphorus  will  be  beneficial  in  cases  in  which  the  symptoms 
are  similar  to  those  mentioned  under  Arsenicum,  and  which  the 
latter  remedy  has  failed  to  remove. 

Constipation. — Constipation  is  a  very  common  attendant  on  pregnancy, 
especially  with  persons  naturally  of  a  co?tive  habit.  When  it  does  not  arise 
from  a  mechanical  cause,  it  may  frequently  he  removed  by  active  exercise  in 
the  open  air,  drinking  freely  of  cold  water,  and  eating  plentifully  of  cooked  or 
ripe  sweet  fruits. 

When  these  means  are  insufficient,  one  or  more  of  the  following  medicines 
may  be  given  :  Nux  vomica,  a  dose  taken  in  the  evening  for  two  or  three 
evenings,  or,  in  some  cases,  it  may  be  necessary  to  give  Bryonia,  Opium, 
Lycopodium  or  Sulphur.     (See  "Constipation.") 

DiARRHCEA. — Diarrhoea  occurs  occasionally  during  pregnancy, 
much  less  frequently,  however,  than  constipation,  but  is  much 
more  injurious,  and  means  should  be  taken  to  check  it  speedily, 
otherwise  the  health  of  the  woman  may  suffer  seriously. 

The  medicines  which  are  mostly  beneficial  are:  Li/cojMclium, 
t 


274  TREATMENT   OF   DISEASES. 

Sulphur,  Dulcamara^  Antimoniura  crudum,  Nux  moschata,  Pulsa- 
tilla  and  Rheum.     (See  "  Diarrhoea.") 

Itching.  Pruritus. — Not  unfrequently  daring  the  course  of  preprnancy, 
women  are  at  times  excessively  annoyed  and  distressed  by  a  very  troublesome 
itching  of  the  privates. 

Sometimes  this  itching  arises  from  a  vitiated  condition  of  the  mucous  secre- 
tion of  the  parts,  and  at  others  it  is  owing  to  the  presence  of  an  eruption 
resembling  the  thrush  of  infants,  which  occasionally  covers  entirely  the 
mucous  membrane  of  the  vagina.  In  other  instances  again,  the  parts  assume 
a  dark  red  hue,  attended  with  great  irritation  and  excoriation,  and  almost 
constant  oozing  of  a  thin,  watery  secretion,  the  accumulation  of  which  is 
attended  with  the  most  intolerable  itching.  This  affection  is  not  confined 
alone  to  the  pregnant  state,  but  may  occur  at  any  time. 

Bri/onia,  Ciirbo  vegeiahili-'i,  Mi-icuriu>!,  Fnlsafi/Jn,  Lycopodiiim,  Silicea,  Sid- 
2)/iiir  and  Rhus  are  the  chief  remedies  in  this  complaint. 

The  cure  will  be  much  accelerated  by  frequently  washing  the  parts  with 
cold  water. 

A  solution  of  borax  in  water,  applied  two  or  three  times  a  day.  will  gene- 
rally remove  the  itching  in  a  few  days  ;  the  same  result  is  often  obtained  by 
washing  the  parts  with  water  slightly  acidulated  with  lemon-juice. 

Faixtixg  and  Hysteric  Fits — Women  of  a  delicate  constitution  and  ner- 
vous temperament  are  frequently  attacked  with  fainting  and  hysteric^  during 
pregnancy.  Generally  the  attack  passes  over  in  a  short  time  without  any 
bad  consequences  resulting.  When  the  attacks  are  light,  attention  to  dietetic 
rules,  and  plenty  of  exercise  in  the  open  air,  will  generally  prevent  their  re- 
currence. But  should  the  attacks  be  more  severe,  and  these  means  insufficient 
for  their  removal,  it  may  be  necessary  to  trace  the  cause,  and  if  possible 
remove  it.     Frequently  they  arise  from  tight  lacing,  warm  rooms,  &c. 

The  speediest  means  of  reviving  a  patient  from  fainting  is  to  admit  fresh 
air  in  abundance,  and  .sprinkle  the  face  with  cold  water. 

Aconitum  may  be  useful  in  preventing  a  return  of  the  attacks, 
when  they  occur  in  individuals  of  a  full  habit. 

Coffea^  in  nervous  women,  with  great  agitation  ;  spasms  in  the 
abdomen;  difficult  respiration;  cold  perspiration,  &c. 

China,  when  caused  by  general  Aveakness,  particularly  from 
hemorrhages. 

ChamomiUa,  against  hysteria  which  is  excited  by  a  fit  of 
anger. 

Nux  vomica,  when  those  affections  occur  in  choleric  pensons, 
and  are  accompanied  by  derangement  of  the  stomach. 

Belladmna  is  often  useful  after  or  in  alternation  with  Aconi- 
tum,, especially  when  there  is  congestion  of  blood  to  the  head. 

Pulsatilla  is  best  suited  to  women  of  a  mild,  easy  disposition, 


CriAP.  il.  DISEASES   OF   WOMEN.  275 

and  whea  the  attacks  are   attended  by  great  excitability,  with 
disposition  to  low  spirits,  &c. 

Igruitia  is  one  of  the  most  valuable  remedies  when  the  patient 
complains  of  severe  headache,  as  if  a  nail  were  driven  into  the 
head ;  melancholy,  frequent  sighing  and  concealed  sorrow. 

Toothache. — Toothache  is  a  very  common  affection  during  pregnancy,  and 
often  attacks  women  who  are  seldom  subject  to  it  at  any  other  time.  Fre- 
quently it  is  of  exceedingly  severe  character.  It  most  generally  commences 
in  a  decayed  tooth,  whence  it  may  extend  to  the  whole  set,  darting  along  the 
jaw,  and  also  to  the  face  and  head.  Occasionally,  however,  it  originates  in  a 
sound  tooth,  and  consequently  care  should  be  taken  to  consult  a  physician 
previously  ii,  having  teeth  extracted. 

The  med'cines  which  will  be  most  commonly  found  useful  to  relieve  the 
sufferings,  are  the  following  :  Calcarea  curb.,  Apium  virus,  Mercurius,  Chamo- 
milla,  Nux  vuiiiica,  Pulsatilla  a.nd  Sfaphisuc/ria.  For  the  particular  indica- 
tions governing  the  choice  and  repetition  of  these  remedies,  and  also  for  other 
remedies  which  may  be  useful,  see  the  article  "Toothache,"  in  a  preceding 
chapter. 

Varicose  Veins. — During  pregnancy  many  women  suffer  a  good  deal  from 
a  distension  of  the  veins  in  the  lower  extremities.  The  swelling  generally 
commences  first  about  the  ankle,  and  gradually  extends  upwards  towards  the 
thigh  ;  it  is  frequently  confined  to  the  leg  below  the  knee,  but  occasionally 
the  veins  of  the  entire  limb  are  implicated.  The  disease  may  involve  both 
limbs,  or  it  may  be  confined  to  but  one. 

The  enlarged  veins  lie  in  general  near  the  surface,  and  assume  at  first  a 
reddish  hue,  and  after  continuing  so  for  some  time,  become  bluish  or  of  a 
leaden  color,  and  the  large  ones  become  very  much  knotted.  They  get  larger 
when  the  patient  is  standing,  or  when  the  limb  is  hanging,  and  the  swelling 
decreases  on  lying  down. 

'I'his  disease,  though  occurring  more  frequently  during  pregnancy,  is  not 
confined  to  this  state,  but  may  take  place  at  any  time  in  the  female,  and  is 
also  met  with  in  the  male  sex. 

The  disease  in  the  beginning  is  not  painful,  but  if  the  swelling  continues  tc 
increase,  it  may  become  so,  and  the  veins  may  ultimately  burst,  and  a  large 
quantity  of  blood  be  discharged,  either  externally,  or  effused  below  the  skin. 

Varicose  veins  are  generally  caused  by  obstruction  to  the  circulation 
arising  from  the  pressure  of  the  enlarged  uterus  upon  the  blood  vessels  ; 
their  occurrence  in  an  aggravated  form,  however,  is  indicative  of  constitutional 
debility. 

After  delivery,  the  pressure  being  removed,  the  swelling  gradually  disap- 
pears, and  the  veins  assume  their  natural  size  and  appearance. 

Much  good  will  often  result  from  frequent  bathing  with  cold  water  or 
diluted  alcohol.  Having  the  limb  bandaged,  or  making  use  of  the  laced 
stocking  will  also  attord  gioat  relief,  especially  to  persons  who  are  compelled 
to  be  much  on  their  feet.  The  bandage  or  stocking  should  be  applied  ui  the 
morning  after  rising,  when  there  is  the  least  swelling,  beginning  at  the  foot 
and  prugressiug  upwards  with  a  moderate  and  equal  pressure. 

'V\\e  jiatient  should  remain  lying  down  in  severe  forms  of  the  compla--t. 

Pulsatilla  will  in  most  ca&'s  be  found  useful,  especially  ii"  tlioe 


276  TREATMENT   OF   DISEASES. 

is  much  swelling  of  the  veins  and  of  the  whole  limb,  with  great 
pain  and  more  or  less  inflammation,  or  when  the  veins,  and 
sometimes  the  entire  limb,  assume  a  bluish  color.  Arnica^ 
given  alternately  with  Pulsatilla,  is  very  efficacious  in  some 
cases. 

Lachesis  may  follow  Puhatilla  when  the  latter  has  produced 
some  relief  of  the  pain  and  swelling,  but  the  discoloration  still 
remains. 

Nux  vomica,  when  attended  with  constipation,  hemorrhoids 
and  irritable  temper. 

Arsenicum,  when  with  the  symptoms  mentioned  under  Pul- 
satilla, there  are  severe  burning  pains. 

Carbo  vegetabilis  for  the  same  symptoms  as  the  laj;ter  when 
that  has  been  insufficient. 

Lycopodium  in  cases  of  long  standing  after  the  failure  of  other 
remedies. 

Hemorhiiotds  or  Piles. — This  afiFection  frequently  occurs  in  women  during 
pretrnancy  who  are  not  subject  to  it  at  any  other  time.  This  is  chiefly  owing 
to  the  pressure  of  the  enlarged  uterus  on  the  contents  of  the  abdomen  caus- 
ing more  or  less  inactivity  of  the  bowels,  and  obstruction  to  the  circulation. 

The  appropriate  treatment  to  pursue  in  this  troublesome  complaint,  will  bo 
found  under  the  heading  of  "  Hemorrhoids"  in  the  pre:eding  chapter. 

Pains  in  the  Back  and  Side  during  Pregnancy. — Women  often  suffer 
very  much  from  pains  in  the  lower  part  of  the  back  during  pregnancy.  Occa- 
sionally the  pain  is  seated  deep  in  the  right  side  under  the  ribs.  They  are 
usually  most  troublesome  from  the  iifth  to  the  eighth  month.  The  sensation 
experienced  is  that  of  an  almost  indescribable  aching,  or  of  a  dull  heavy  pres- 
sure, as  if  caused  by  a  dead  weight  resting  on  the  part  affected.  When  ii. 
the  side,  it  is  attended  with  a  feeling  of  heat. 

For  the  pains  in  the  back,  benefit  will  be  derived  from  the  use  of  Bryonia, 
Hhus,  Belliuhmna,  J'nlsuiilla,  Nux  vomica,  Causticitm,  or  Snlphvr. 

For  that  in  the  side  Aconitum,  Chamomilla,  Pulsatilla,  or  Phosphorus  will 
be  most  serviceable. 

Cramps. — Cramps  in  the  legs,  abdomen,  hips,  or  back,  are  common  accom- 
paniments of  pregnancy,  and  when  present,  are  exceedingly  painful  and 
annoying. 

The  remedies  best  calculated  to  remove  cramps  in  the  legs,  which  are  most 
common,  are  :  Colocynthis,  Hyoscyamus,  Calcarea  carb.,  Chamomilla,  Kua 
vomica,  or  Sulphur. 

Those  of  the  back  :  Ignatia,  Phus,  or  Opium. 

Those  of  the  abdomen  :  Kux  ir  mica,  Pulsatilla,  Belladonna,  Uyoscyavius, 
or  Colocynthis. 


CHAP.  XI.  DISEASES   OF   WOMEN.  277 

Incontinence  of  Urine. — Frequent  desire  to  void  the  urine,  or  total  in- 
ability to  retain  it,  are  by  no  means  of  uncommon  occurrence  during  pregnancy, 
and  are  extremely  distressing  to  the  patient. 

The  following  remedies  will  generally  afford  relief:  Pulsatilla,  Belladonna, 
China,  Silicea,  or  Stramonium. 

Depression  of  Spirits. — This  unhappy  state  of  mind,  in  which  the  patient 
imagines  that  she  is  aiflicted  with  "all  the  ills  that  flesh  is  heir  to,"  and  that 
she  will  certainly  never  survive  her  approaching  confinement,  is  often  aggra- 
vated by  meddlesome  persons  relating  accounts  of  dreadful  accidents  and 
unfortunate  terminations  of  labors,  which  in  all  probability  never  happened. 

The  patient  may  be  much  benefitted  under  these  circumstances  by  the 
cheerful  conversation  of  judicious  friends,  exercise  in  the  open  air,  proper 
attention  to  rules  of  diet,  &c.  And  also  by  taking  one  or  more  of  the  fol- 
lowing medicines. 

Aconitum^  if  depression  results  from  fright,  and  fear  of  death  is 
the  most. prominent  symptom. 

Belladonna^  if  there  is  great  agitation  and  restlessness  at 
night ;  fear  of  ghosts  ;  fear  and  disposition  to  run  away  and  hide ; 
involuntary  laughter;  disposition  to  laugh  or  sing,  or  to  fall 
into  a  passion  and  rave ;  frightful  visions ;  indisposition  for 
exertion,  &c. 

Pulsatilla^  against  depression,  with  sadness  and  weeping; 
uneasiness  in  the  pit  of  the  stomach ;  sleeplessness ;  she  imagines 
herself  to  be  oppressed  with  a  multitude  of  cares ;  dislike  to  con- 
versation ;  headache  and  heartburn. 

Sulphur.  Lowness  of  spirits,  with  great  anxiety  on  the  sub- 
ject of  religion;  despair  of  eternal  salvation;  forgetful n ess  of 
proper  names  and  of  words  when  about  to  speak  them ;  dispo- 
sition to  get  angry. 

Miscarriage.  Abortion. — Women  are  liable  to  miscarry  at  any  period  of 
pregnancy  :  it  occurs  most  frequently,  however,  about  the  third,  or  the  begin- 
ning of  the  fourth  month.  When  it  takes  place  before  or  about  this  period, 
it  is  not  very  dangerous,  though  repeated  miscarriages,  from  the  profuse  dis- 
charge with  which  they  are  mostly  accompanied,  impair  the  constitution,  and 
very  often  engender  some  chronic  malady.  Miscarriages  occurring  at  a  later 
period  are  much  more  serious,  and  frequently  highly  dangerous  to  the 
sufferer. 

Females  who  have  miscarried  once,  are  exceedingly  liable  to  its  recurrence, 
which  liability  is  greatly  increased,  if  it  have  occurred  two  or  three  times. 

The  most  common  causes  of  miscarriage  are:  mechanical  injuries,  as  a  fall 
or  blow,  &c.;  sudden  and  powerful  mental  emotions;  the  abuse  of  purgative 
drugs;  great  physical  exertion;  too  free  use  of  stimulating  food  and  drinks; 
Deglect  to  take  air  and  exercise ;  late  hours,  kc. 

25 


278  TREATMENT   OF   DISEASES. 

The  following  symptoms  generally  precede  and  attend  this  affection  :  cfiil- 
liness  followed  by  more  or  less  fever  and  bearing-down  pains;  severe  pains  in 
the  abdomen;  cutting  pains  in  the  loins,  or  pains  resembling  labor  pains; 
discharge  of  mucus  and  blood,  sometimes  of  a  red  color,  at  others  dark  and 
clotted,  followed  by  the  flow  of  a  thin  fluid.  The  miscarriage  generally  takes 
place  along  with  this  discharge,  which,  if  not  stopped  by  appropriate  means, 
may  continue  for  hours,  and  endanger  the  life  of  the  patient. 

In  cases  of  threatened  miscarriage  the  patient  should  immediately  lie  down, 
and  remain  so  until  the  danger  is  passed  ;  or,  in  case  the  miscarriage  has  taken 
place,  she  should  still  remain  in  this  position  for  a  few  days  to  guard  against 
a  fresh  discharge,  which  is  more  liable  to  occur  in  the  upright  posture. 

Arnica^  when  the  symptoms  arise  from  a  foil,  blow,  violent 
concussion,  overlifting,  or  great  physical  exertion  of  any  kind, 
this  medicine  should  be  given  immediately. 

Apium  virus  is  suitable  as  well  to  prevent  miscarriage  as  to 
stop  the  bleeding  following  it;  if  there  is  a  bearing  down; 
trouble  in  making  water  ;  headache ;  rush  of  blood  to  the  head  ; 
an  eruption  with  burning  and  stinging;  the  parts  below  the 
short  ribs  feel  as  if  bruised;  the  whole  abdomen  sensitive;  pain 
in  the  back ;  particularly  for  women,  usually  of  a  changeable, 
lively  and  gay  disposition,  but  who  have  now  become  passionate 
and  jealous. 

Ghamomilla,  when  there  are  periodical  pains  resembling 
those  of  labor,  and  each  pain  is  followed  by  a  discharge  of  dark- 
colored  or  coagulated  blood,  or  of  blood  and  mucus  mixed  ; 
also  for  violent  pains  in  the  bowels  extending  around  the  sides, 
accompanied  by  a  sensation  as  if  an  evacuation  of  the  bowels  or 
bladder  were  about  to  take  place  ;  frequent  yawning;  coldness 
and  shivering,  with  thirst. 

Nux  moschata,  if  the  blood  is  very  dark,  thick  and  if  it 
increases  constantly  in  quantity,  with  bearing  down,  nausea, 
drawing  in  the  legs,  urine  burning;  for  women  of  a  ch.ingeable 
disposition,  whose  nien.struation  has  generally  been  irregular, 
who  have  a  cool,  dry  skin,  cannot  bear  the  open  air,  and  have  a 
Weak  stomach. 

Secede  is  valuable,  after  miscarriage  has  occurred,  especially 
in  dibilitated  person.s,  or  when  the  discharge  consists  of  dark 
liquid  blood  and  the  pains  are  but  slight. 

Crocus  is  particularly  serviceable  in  cases  in  which  there  is  a 


CHAP.  XI.  DISEASES   OF    WOMEN.  279 

discharge  of  dark,  clotted  blood,  wliicli  is  increased  hy  the  least 
exertion,  with  a  feeling  of  fluttering,  or  as  if  something  was 
moving  about  in  the  region  of  the  navel.  It  may  be  used  with 
advantage  in  protracted  cases,  after  other  remedies  have  been 
administered  unsuccessfully. 

Ipecactianha  against  abortion  attended  with  spasms  but  with- 
out loss  of  consciousness;  profuse  and  continuous  discharge  of 
bright  red  blood,  accompanied  with  pressure  downwards,  cutting 
pains  round  the  navel;  nausea  or  vomiting ;  disposition  to  faint- 
ncss ;  chills  and  heat. 

Belladonna  is  especially  useful  in  the  commencement,  and  also 
subsequently  when  there  are  violent  pains  in  tlie  loins  and  the 
entire  abdomen;  severe  bearing  down  as  if  all  the  intestines 
were  about  to  be  forced  out;  pain  in  the  small  of  the  back  as  if 
it  were  broken  ;  pale  or  flushed  face;  profuse  discharge  of  blood, 
neither  very  bright,  nor  dark-colored. 

Myoscyamus  against  miscarriage  attended  with  spasms  or  con- 
vulsions of  the  whole  body,  with  loss  of  consciousness ;  dis- 
charge of  light  red  blood;  the  symptoms  are  mostly  worse  at 
night. 

Platinum  is  useful  when  there  is  discharge  of  dark,  thick 
or  clotted  blood ;  pains  in  the  back  which  pass  into  the  groins, 
and  pressing  or  bearing  down  internally  towards  the  privates, 
which  are  very  sensitive.  It  is  sometimes  serviceable  after 
Ipecacuanha. 

China  is  particularly  valuable  in  weak  and  exhausted  persons; 
also  when  there  is  blood  discharged  at  intervals,  with  bearing 
down  pain:  or  against  spasmodic  pains  in  the  uterus;  giddi- 
ness, drowsiness,  fainting;  loss  of  consciousness  and  coldness  of 
the  extremities.  This  remedy  is  most  useful  in  restoring  the 
energies  of  the  patient,  and  removing  the  remaining  symptoms 
after  the  discharge  has  ceased. 

Ferriim  is  useful  in  cases  of  abortion  accompanied  by  fever, 
pains  like  those  of  labor,  and  discharge  of  blood. 

Nux  vomica  and  Bryonia  may  be  given  with  advantage  in 
cases  attended  with  troublesome  constipation. 

« 


280  TKEATMENT   OF   DISEASES. 

Floodino,  during  pregnancy,  or  at  delivery. 

Not  only  the  common  domestic  remedies,  but  also  those  ordinarily  pre- 
scribed by  old-school  physicians,  do  more  harm  than  good,  even  when  they 
give  relief  for  a  period  ;  cold  water,  for  instance,  frequently  induces  inflam- 
mation, particulary  after  the  birth  of  the  child,  and  its  application  is,  conHO- 
quently  dangerous;  rubbing  with  ether  causes  nervous  affections;  alum 
produces  induration  and  other  bad  symptoms.  The  introduction  into  the 
vagiiuv  of  pieces  of  linen  (the  tampon)  is  seldom  of  much  benefit,  as  the  bleed- 
ing will  still  continue  internally. 

When  an  accident  of  this  kind  occurs,  the  woman  should  lie  down  quietly, 
should  move  as  little  as  possilile,  her  mind  be  kept  free  from  care,  and  the 
greatest  quietness  be  preserved  in  the  room  and  in  the  house.  At  the  same  time 
tie  handkeicliiefs  around  the  upper  part  of  the  thighs,  silk  ones  are  preferable; 
also  around  the  upper  part  of  the  arms.  A  few  mouthfuls  of  water,  and  if 
the  face  becomes  pale,  with  fainting,  a  few  drops  of  wine  are  of  great  service. 

The  smelling  of  vinegar,  rubbing  it  on  the  nose,  temples,  &c.,  is  also  bene- 
ficial, only  take  care  not  to  deluge  the  patient  with  it,  but  only  take  about  a 
teaspoonful  in  your  hand,  or  dip  your  finger  into  it,  that  the  smell  of  the 
vinegar  may  afterwards  be  removed  with  facility.  In  long  continued  flooding 
with  females  of  more  advanced  age,  when  not  in  childbed,  it  is  best  to  avoid 
all  warm  drinks  for  a  year,  and  instead,  to  drink  milk  five  or  six  times  a  day, 
which  has  been  cooled  in  the  cellar,  or  is  a  little  soured.  In  these  fioodiflga, 
it  is  necessary,  if  possible,  to  procure  a  homoeopathic  physician. 

During  pregnancy  or  after  delivery,  tincture  of  cinnamon  is  sometimes  of 
use;  put  a  drop  into  half  a  teacup  of  water,  stir  it  up  well,  and  give  a  tea- 
spoonful  as  often  as  the  hemorrhage  becomes  worse  ;  this  remedy  may  be 
given  when  the  flooding  is  caused  by  lifting,  carrying,  over-reaching,  or  a  false 
step.  If  the  tincture  is  not  at  hand,  a  piece  of  cinnamon  may  be  chewed.  If 
this  does  not  soon  produce  a  salutary  etiect,  give  sugar,  and  when  the  burn 
iug  sensation  is  passed,  Aratca. 

Arnica,  in  all  cases  ai'ising  from  meclianical  injuries,  such  as 
a  fall,  blow,  lifting  or  carrying  heavy  weights,  false-steps,  over- 
reaching, &c. 

Ipecacuanha.  Very  copious  continued  flooding,  particularly 
when  occurring  during  pregnancy;  the  blood  flowing  regularly 
without  interruption,  with  cutting  pains  around  the  navel ;  great 
pressure  and  bearing-down;  chills  and  coldnees  of  the  body; 
feeling  of  heat  rising  into  the  head;  great  weakness  and  inclina- 
tion to  lie  down.  This  is  also  a  most  important  remedy  in 
flooding  after  delivery. 

Chamomilla  may  be  given  after  the  latter  remedy  when  that 
has  produced  little  or  no  improvement,  or  when  the  flooding  is 
accompanied  by  pains  resembling  labor  pains. 

Bryonia,  when  dark  red  blood  is  discharged  in  great  quanti- 
ties, with  violent  pressive  pain  ii  the  small  of  the  back,  and 


CHAP.  XI.  DISEASES   OF   WOMEN.  281 

headache,  particularly  in  the  temples,  as  if  the  he^J  would  burst 
and  constipation. 

China  is  very  important  in  the  most  dangerous  cases ;  when 
heaviness  of  the  head,  giddiness,  loss  of  consciousness,  and 
drowsiness  appear ;  for  sudden  weakness,  fainting,  coldness  of 
the  extremities,  paleness  of  the  face,  convulsions  of  the  mouth, 
contortions  of  the  eyes,  or  when  the  face  and  hands  turn  blue, 
or  single  jerks  pass  through  the  whole  body.  While  givino' 
this  remedy  the  abdomen  may  be  rubbed  gently,  or  cloths 
dipped  into  vinegar  or  water  be  applied  to  it,  and  a  few  drops 
of  wine  may  be  given  afterwards.  It  is  also  of  use  when  the 
blood  escapes  by  starts,  with  spasms  or  pains  like  labor-pains 
in  the  womb,  passing  to  the  anus;  the  discharge  increasing  with 
every  pain.  Likewise  when  accompanied  by  colic,  frequent 
urging  to  make  water,  and  sore  tension  of  the  abdomen.  China 
is  always  serviceable  for  the  debility  or  other  troublesome 
symptoms,  which  frequently  remain  after  the  flooding  has 
ceased. 

Hyoscyavfius^  for  flooding  attended  by  pains  resembling  labor- 
pains,  with  drawing  in  the  thighs  and  small  of  the  back,  or  in 
the  limbs ;  heat  over  the  whole  body,  with  a  quick  or  full  pulse; 
swelling  of  the  veins  on  the  back  of  the  hand  or  in  the  face ; 
great  uneasiness ;  excessive  liveliness;  trembling  over  the  whole 
body,  or  numbness  of  the  limbs;  loss  of  consciousness,  darkness 
before  the  eyes  ;  delirium  ;  twitching  in  the  sinews  or  in  the 
muscles  of  the  extremities  ;  jerking  in  one  or  the  other  of  the 
limbs,  alternating  with  stiffness  of  the  joints. 

Belladonna^  when  the  blood  discharged  is  neither  particularly 
dark,  nor  light-colored,  with  pressure  in  the  privates,  as  if  they 
would  fall  out ;  violent  pains  in  the  small  of  the  back,  as  if  it 
would  break;  pale  or  flushed  face;  dulness ;  heat  about  the 
head  ;  palpitation  of  the  heart,  and  thirst. 

Platinum^  when  the  discharge  is  dark  and  thick,  but  not 
clotted ;  the  pain  in  the  back  drawing  towards  the  groins,  with 
pressing-down   internall}^  towards  the  privates,  which  are  ex- 

25* 


282  TREATMENT   OF   DISEASES. 

cessively  sensitive.  This  remedy  is  particularly  applicable  to 
cases  of  flooding  produced  by  any  violent  mental  emotion. 

Ferrum,  when  the  blood  is  sometimes  black  and  clotted  ;  at 
others  liquid,  with  pains  like  labor-pains  ;  the  face  usually  red ; 
China  follows  Ferrum  advantageously. 

Apium  virus  and  Nux  moschata ;  see  above  under  "  Mis- 
carriage." 

Smelling  saffron  is  also  beneficial  in  some  instances. 

Pkeparatio.v  of  the  Breasts. — By  paying  a  proper  attention  to  the  breasts 
before  confinement,  motliers  will  in  many  instances  save  themselves  much 
suffering  after  delivery  from  sore  nipples,  gathered  breasts,  &c. 

As  pregnancy  progresses,  the  breasts  gradually  increase  in  size,  in  order  to 
be  fitted  for  tht-ir  future  important  functions,  and  especially  in  first  pregnancy; 
the  parts  immediately  around  the  nipples  become  of  a  darker  hue  and  the  nip- 
ples themselves  larger  and  more  prominent.  This  development  is  frequently 
accompanied  with  more  or  less  pain  and  soreness.  The  most  common  affec- 
tions to  which  the  nipples  are  subject,  are,  excoriation,  cracks,  inflammation, 
Bcaly  eruptions,  and  small  abscesses.  The  structure  of  the  breasts  is  some 
times  irreparably  injured  by  ignorant  nurses  squeezing  them  in  childhooi' 
with  the  erroneous  notion  that  such  a  process  was  \iecessary  to  expel  some 
matter  contained  in  them. 

Serious  injury,  also,  often  results  from  pressure  occasioned  by  wearing  stays 
iu  after  life. 

For  several  weeks  previous  to  delivery  the  entire  breast  and  chest  should 
be  bathed  with  cold  water  daily,  and  afterwards  well  dried  and  rubbed  with 
coarse  towels.  If  there  is  tenderness  or  slight  excoriation,  much  benefit  will 
be  de'rived  from  bathing  with  diluted  tincture  of  Arnica,  or  brandy,  twice  a 
day.  "When  a  high  degree  of  inflammation  of  the  nipples  exist,  with  aching 
or  acute  pains,  shooting  into  the  mamma,  the  internal  administration  of  Aconite 
or  Cha/iujmil/a,  will  generally  afl'ord  relief.  In  some  instances  ISilicea  or  iSul- 
phur  may  be  required. 

The  swelling,  burning,  itching,  cracks,  eruptions  and  small  abscesses  will 
be  removed  by  Lycopodiuin,  Mercurius,  Hepar  or  Sulp/nir. 

False  Pains. — Women  frequently  suffer  previously  to  the  setting-in  of  labor, 
with  what  is  termed  false  pains.  Generally  these  pains  precede  labor  but  a 
few  hours;  occasionally,  however,  they  come  on  some  days  or  even  weeks 
before  delivery. 

They  differ  from  labor  pains  chiefly  in  the  irregiilarity  of  their  recurrence, 
in  being  unconnected  with  uterine  contractions,  and  principally  confined  to 
the  abdomen,  which  is  tender  to  ]>ressMre  and  movement,  and  in  not  increas- 
ing in  intensity  as  they  return.  In  some  instances  it  is  exceedingly  difficult 
to  discrimiiiate  between  them  and  genuine  labor  pains.  In  such  cases  the 
period  of  pregnancy  will  be  the  chief  guide;  and  when  they  come  on  a  week 
or  two  before  labor  is  expected,  they  should  be  checked  by  the  administration 
of  a  suitable  remedy. 

The  exciting  causes  of  these  pains  are  congestion  of  blood  to  the  uterus, 
a  chill  affecting  the  abdoiren,  mental  emotions,  errors  in  diet,  clothing,  &c. 


CHAP.  XI.  DISEASES    OF   WOMEN.  283 

Bryonia  is  most  suitable  when  the  symptoms  have  arisen  in 
consequence  of  a  fit  of  passion,  and  consist  of  pains  in  the  abdo- 
men, followed  by  dragging  pains  in  the  back  and  loins ;  consti- 
pation, and  irritable  temper.     They  are  aggravated  by  motion. 

Nux  vomica^  against  pains  in  the  abdomen  and  back,  like 
those  under  Bryonia^  also  when  there  are  pains  as  if  from  a 
bruise  in  the  region  of  the  pubes;  constipation.  The  pains 
occur  cliiefly  at  night.  Applicable  to  passionate  persons,  and 
especially  when  the  exciting  cause  appears  to  be  indulgence  in 
stimulants,  such  as  highly  seasoned  food,  wine,  coffee,  &c. 

Pulsatilla.  Pains  in  the  abdomen;  pains  in  the  loins,  as  if 
from  continued  stooping,  with  a  feeling  of  stiffness  and  painful 
dragging  and  aching  in  the  thighs,  constipation  or  diarrhoea; 
most  applicable  to  mild  tempered  persons,  and  when  arising 
from  eating  rich  or  fat,  indigestible  food. 

Dulcamara,  when  the  pains  originate  from  cold,  the  effects 
of  chill  or  dampness,  and  are  acute  and  violent  in  their  charac- 
ter, and  seated  in  the  small  of  the  back ;  coming  on  or  aggra- 
vated at  night. 

Aconitum  is  most  suitable  for  young  persons  of  a  full  habit ; 
when  the  pains  are  attended  with  a  full,  strong  and  frequent 
pulse,  with  congestion  to  the  head,  flushed  face  and  hot  skin. 

Belladonna,  for  symptoms  similar  to  the  last,  and  after  or  in 
alternation  with  that  remedy;  and  also  when  the  pains  are 
spasmodic  in  their  character. 

Labor.     Child-Birth. 

When  natural,  the  labor  generally  takes  place  at  the  end  of  the  ninth 
month  of  pregnancy.  The  pains  come  on  at  regular  intervals  of  lunger  or 
shorter  tluration,  gradually  increase  in  intensity,  and  tlie  whole  process  is 
completed  iu  from  four  to  six  hours.  Frequently,  however,  a  longer  time  is 
required,  the  sufferings  continuing  for  twenty-four  hours,  or  eveu  a  greater 
length  of  time  ;  and  in  other  instances  again,  the  labor  may  not  last  over 
half  an  hour  or  an  hour,  it  may  indeed  be  terminated  by  two  or  three  pains — 
though  these  latter  instances  are  rare. 

The  ordinary  and  most  correct  mode  of  "  reckoning,"  to  fix  the  time  of 
labor,  is  from  the  last  menstrual  period — two  hundred  and  eighty  days,  or  furty 
weeks,  from  the  last  menstruation  to  labor.  Other  modes,  which  are  le.-^s  cer- 
tain, but  which  may  be  useful  in  assisting  to  form  a  reckoning  in  cases  in  which 
there  is  any  uncertainty  about  the  la^st  menstrual  period,  are  :  the  commence- 


284  TREATMENT   OF   DISEASES. 

ment  of  morning  sickness,  which  generally  sets  in  about  six  weeks  after  con- 
ception, and  qxiickeninrf,  which  usually  takes  place  at  four  and  a  half  months, 
or  twenty  weeks,  from  conception.  Towards  the  latter  end  of  pregnancy  the 
child  sinks  lower  down  in  the  abdomen,  and  the  woman  becomes  smaller  round 
the  waist  than  she  had  been  for  some  weeks  previously. 

Labor  is  often  preceded  by  agitation,  nervous  tremblings,  disposition  to 
shed  tears,  lowuess  of  spirits,  &c.  Looseness  of  the  bowels  for  a  day  or  two 
before  labor,  is  also  a  common  symptom  and  should  not  be  interfered  with. 
Flying  pains  through  the  abdomen,  and  frequent  inclination  to  pass  water, 
followed  by  a  slight  discharge  of  reddish  mucus,  called  "a  show,"  usher  ia 
the  regular  labor  pains. 

AVere  it  not  for  the  acquired  habits  of  civilized  life,  such  as  tight-lacing, 
improper  diet,  want  of  proper  air  and  exercise,  &c.,we  would  find  child-bear- 
ing to  be  comparatively  free  from  the  suffering  and  danger  which  now  so 
commonly  accompany  it. 

It  is  almost  unattended  with  pain  among  savage  tribes  ;  and  those  healthy, 
regular  women  among  us,  who  pay  more  attention  to  the  natural  development 
of  their  frames  than  they  do  towards  forming  what  some  call  "  a  fine  figure," 
are  seldom  afflicted  with  the  long  train  of  ills,  which  custom  has  almost  led  us 
to  consider  the  natural  concomitants  of  child-bearing. 

Protracted  Labors. —  Cases  frequently  occur  in  which  labor  is  protracted 
much  beyond  the  usual  period,  or  is  attended  with  a  great  deal  of  suffering; 
BUch  labors  are  more  likely  to  take  place  with  women  in  their  first  confine- 
ment, who  are  already  somewhat  advanced  iu  life,  and  those  of  a  slender  form 
and  highly  nervous  and  sensitive  habit. 

The  sufferings  in  these  cases  may  be  greatly  alleviated  by  having  recourse 
to  the  following  medicines : 

Coffea  will  generally  prove  serviceable  when  the  pains  are  in- 
efi'ectual  and  extremely  violent,  following  each  other  in  quick 
succession,  and  attended  by  great  agitation,  restlessness  and 
tossing  about. 

Aconitum^  when  the  above  remedy  is  insufficient,  or  when  the 
patient  has  been  in  the  habit  of  drinking  coffee  frequently  as  a 
beverage. 

Cliamomilla,  after  the  above,  if  required,  especially  if  there  is 
great  mental  excitement;  excessive  sensibility  to  pain;  anguish 
and  discouragement. 

Belladonna  will  be  of  great  value  in  tedious  cases  of  labor 
arising  from  a  rigid  or  unyielding  state  of  the  parts,  which  is 
most  liable  to  occur  in  the  first  labor  of  elderly  women  ;  and 
especially  so  when  this  rigidity  appears  to  be  owing  to  spasms 
of  the  neck  of  the  uterus.  This  remedy  is  also  useful  when  the 
labor  pains  become  feeble  or  cease  entirely,  after  having  been 
extremely  violent  for  some  hours. 


CHAP.  XI.  DISEASES   OF   WOMEN.  285 

Nux  vomica,  when  the  labor  is  protracted  from  the  irregularity 
and  insufficiency  of  the  pains,  and  there  is  constant  inclination 
to  evacuate  the  bladder  and  rectum. 

Nux  moschata,  if  the  pains  are  very  irregular,  like  cramps, 
not  strong ;  and  if  the  woman  has  taken  cold  and  has  a  cool, 
dry  skin. 

Opium  should  be  given,  if  the  pains  cease  suddenly,  and  con- 
gestion of  blood  to  the  head,  with  redness  of  the  face,  stupor  and 
snoring  take  place. 

Pulsatilla,  when  the  pains  are  feeble,  and  occur  at  long  inter- 
vals, or  when  they  diminish  in  strength  and  frequency  as  if  from 
insufiicient  contractile  power  in  the  uterus ;  when  the  labor 
pains  are  attended  by  spasms  of  the  stomach  and  vomiting,  or 
with  acute  pains  in  the  back  and  loins,  and  painful  drawing  sen- 
sation in  the  thighs. 

Secale  will  be  beneficial  in  cases  similar  to  the  latter,  when 
that  remedy  has  not  proved  efficient  in  increasing  the  activity 
of  the  uterine  contractions. 

During  the  progress  of  labor,  the  use  of  drugs  and  stimulants  of  every 
kind  should  be  carefully  avoided,  as  they  all  prove  more  or  less  injurious. 

Spirituous  liquors  are  objectionable  on  account  of  their  accelerating  the 
circulation,  and  thereby  increasing  the  danger  of  too  great  hemorrliage  ;  ch:t- 
momile  tea,  from  its  tendency  to  produce  metrorrhagia ;  coffee,  from  its 
causing  high  nervous  excitement;  opium  retards  delivery  by  its  sedative 
property ;  and  all  drugs  and  ptisans  are  in  fact  more  or  less  of  a  stimulating 
or  irritative  nature,  and  therefore  objectionable. 

Spasmodic  Pains,  Cramps  and  Convulsions. — In  complicated  labors  we 
occasionally  find  spasmodic  pains  set  in,  which  cause  considerable  suffering, 
and  often  materially  retard  the  delivery.  For  these  affections  the  following 
remedies  will  be  most  efficient : 

Chamomilla,  if  there  are  very  acute  pains,  mostly  of  a  cutting 
description,  extending  from  the  region  of  the  loins  to  the  hypo- 
gastrium,  and  attended  with  spasmodic  convulsions,  redness  of 
the  face,  particularly  of  one  cheek,  with  great  sensitiveness  of 
the  nervous  system,  and  exQitement. 

Belladonna^  when  there  are  excessively  violent  bearing-down 
pains,  attended  with  convulsive  movements  of  the  limbs ;  great 
agitation  and  constant  tossing;   congestion  to  the  head,  with 


283  TREATMENT   OF   DISEASES. 

tlirobbing  and  distension  of  the  blood  vessels;  red  and  bloated 
face,  and  profuse  sweating. 

Hyoscijamns,  against  severe  convulsions  with  loss  of  conscious- 
ness, great  anguish  and  cries,  with  oppression  of  the  chest. 

Stramoninm,,  against  tremblings  of  the  limbs,  and  convulsions 
Avithout  loss  of  consciousness. 

Ignatia,  when  there  is  a  confused  feeling  in  the  head  ;  spas- 
modic and  compressive  pains,  with  sensation  of  suftbcation ; 
convulsions. 

Ipecacuanha.  Spasmodic  convulsions ;  paleness  or  bloated- 
ness  of  the  face;  nausea  or  vomiting. 

Cocculus,  crainp.^  or  convulsions  of  the  limbs  or  whole  body; 
cramps  in  the  lower  part  of  the  abdomen,  with  heat,  redness  and 
pufline.ss  of  the  face. 

Treatment  after  Delivery. 

The  patient  should  be  kept  perfectly  quiet,  both  in  body  and  mind,  after 
delivery  ;  everything  which  may  have  a  tendency  to  excite  her,  such  as  noise, 
strong  light  and  odors,  even  loud  talking,  should  be  carefully  guarded  against. 
After  the  lapse  of  an  hoar  or  two,  if  no  untoward  symptoms  exist,  she  may 
be  '  changed,"  and  "  have  her  bed  made."  The  bandage  should  be  applied 
iuimedialc'ly  after  delivery,  and  without  disturbing  the  patient. 

If  the  labor  has  been  at  all  difficult,  and  the  patient  complains 
of  general  soreness,  a  few  doses  of  Ar7iica  may  be  administered. 

Much  benefit  will  also  be  derived,  in  case  there  is  much  local 
pain  or  soreness,  from  the  external  application  of  a  lotion  pre- 
pared by  mixing  about  twenty  drops  of  the  Tincture  of  Arnica 
in  half  a  tumbler  of  water. 

The  nervous  excitement  which  is  apt  to  follow  delivery,  and 
prevent  the  patient  from  procuring  the  sleep  she  so  much  needs, 
will  generally  be  removed  by  a  dose  or  two  of  Goffea^  or,  should 
ii  fail  and  any  febrile  symptoms  be  present,  Aconitum  will 
usually  suffice. 

Flooding  after  Delivery. — Directions  for  the  appropriate 
treatment  of  this  affection  will  be  found  under  the  heading  of 
"Flooding." 


CHAP.  XI.  DISEASES   OF  WOMEN.  287 

The  medicines  of  most  value  are  China^  Chamomilla,  Orociu, 
Platinum,  Belladonna,  and  Tincture  of  Cinnamon. 

AFT.ER-PAiNs.--Very  few  females  escape  the  suffering  occasioned  by  these 
extremely  annoying  iiains,  although  they  are  of  rare  occurrence  with  first 
children.  Generally  they  become  more  and  more  sevore  after  each  succes- 
sive labor;  and  in  some  women  of  nervous  temperament,  who  have  borne 
several  children,  they  are  very  distressing,  while  others  may  have  a  number 
of  children  and  never  experience  any  suffering  of  consequence  from  them. 

In  most  instances,  the  administration  of  one  or  more  of  the  following 
remedies  will  greatly  relieve,  or  remove  them  entirely : 

Arnica,  when  the  pains  are  not  very  violent,  and  are  accom- 
panied with  a  feeling  of  soreness,  with  pressure  on  the  bladder 
and  retention  of  urine. 

Chamomilla,  if  Arnica  proves  insufficient,  and  the  patient  is 
nervous  and  excitable,  with  great  restlessness,  tossing  about,  &c. 

Niix  vomica,  after  or  alternately  with  Chamomilla,  will  often 
be  serviceable,  especially  when  the  pains  are  of  an  aching  or  of 
a  violent  colicky  description,  and  occur  in  choleric  persons. 

Coffea  is  valuable,  when  there  is  nervous  excitement,  and  the 
pain  is  exceedingly  violent  in  its  character,  or  when  the  pains 
are  followed  by  convulsions,  with  coldness  and  rigidity  of  the 
body. 

Pulsatilla  is  indicated  in  persons  of  a  mild  and  gentle  dispo- 
sition, when  the  pains  do  not  return  very  fi-equently,  but  are 
protracted  and  continue  for  several  days. 

Belladonna  will  be  useful  in  cases  attended  with  much  bearing- 
down  ;  fulness  about  tlie  head  ;  disposition  to  sleep  :  tenderness 
and  fulness  of  the  abdomen. 

Secale,  and  Cuprum,  have  been  recommended  highly  for  after 
pains  of  the  most  violent  description  (occurring  in  females  who 
have  borne  many  children. 

Secale,  if  the  patient  comjilains  of  burning,  and  cannot  bear 
warmth. 

Arsenicum  if  she  complains  of  burning,  but  feels  better  from 
warmth. 

Ajnmn  virus  f  )r  great  weakness,  particularly  after  every  slight 
exertion  ;  if  she  cannot  bear  a  closed  room,  particularly  not  a 


288  TREATMENT   OF   DISEASES. 

heated  one  ;  if  the  whole  abdomen   is  tender,  and  the  region 
below  the  short  ribs  as  if  beaten  and  bruised. 

Duration  of  Confinement. — The  mother  should  i-emain  in 
bed  for  the  first  five  or  six  days  after  delivery  ;  after  that  she 
may  rise  daily  and  sit  up  awhile,  at  first  not  longer  than  while 
her  bed  is  making,  but  gradually  sit  up  a  longer  time. 

The  diet  during  this  time  should  be  light,  consisting  chiefly 
of  gruel,  panada,  farina,  toast  and  black  tea  or  other  articles  of 
a  similar  kind;  and  everything  stimulating,  both  food  and 
drinks,  and  all  strong  odors  from  flowers  or  other  aromatic 
substance?  should  be  scrupulously  avoided. 

The  first  ten  days  should  be  mostly  spent  in  bed,  or  at  least 
in  a  half-recumbent  posture,  during  which  time  but  few  visitors 
should  be  admitted.  After  this  period,  if  the  woman  feels  pretty 
strong,  she  may  walk  about  her  room,  but  should  not  leave  it 
before  the  expiration  of  the  second  week;  and  ought  not  to 
attempt  to  go  up  or  down  stairs  until  the  end  of  the  third  week 
after  confinement.  Some  women  may  be  allowed  to  go  about 
sooner  than  we  have  mentioned,  whilst  others  require  a  longer 
period  to  recover  from  the  effects  of  their  confinement,  but  the 
physician  will  be  able  to  judge  when  it  is  prudent  to  allow  his 
patient  to  resume  her  ordinary  mode  of  life 

Irregularities  of  the  Lochial  Discharge. — The  discharges  which  takes 
place  after  confinement,  are  called  lochia,  and  vary  considerably  in  different 
t'emales,  sometimes  they  are  thin  and  scanty,  and  cease  in  a  few  days,  at  others 
they  continue  for  several  weeks,  and  are  so  profuse  as  almost  to  amount  to  a 
hemorrhafro.  In  the  majority  of  instances,  however,  they  cease  about  the  tenth 
day.  In  color  and  consistence  they  at  first  resemble  menstruation,  but 
gradually  grow  lighter  colored,  lose  the  redness  entirely,  and  become  succes- 
sively yellowish  and  whitish  before  their  final  cessation. 

When  this  discharge  continues  too  long,  or  is  too  profuse,  and  also  when 
it  is  checked  suddenly,  or  suppressed  from  exposure  to  cold,  errors  of  diet,  or 
other  cause,  medical  assistance  is  required. 

Crocus  is  indicated  when  the  discharge  is  too  long  continued 
in  too  great  quantity,  and  consists  of  dark-colored  or  black  blood 
of  viscid  consistency. 

Aconitum  is  aLso  valuable  in  too  profuse  lochial  discharges  of 
a  deep  red  color,  and  will  frequently  be  found  sufficient  of  itself 


CHAP.  XI  DISEASES   OF   WOMEN.  289 

to  check  them  in  two  or  three  days  without  the  administration 
of  any  other  remedies. 

Should  Acomtum  be  insufficient,  Calcarea  carbomca  may  follow 
it  with  advantage,  especially  if  the  discharge  be  attended  with 
a  sensation  of  itching  in  the  uterus. 

Bryonia  will  be  beneficial  in  cases  of  suppressed  lochia,  ac- 
companied by  headache ;  fulness  and  heaviness  in  the  head, 
with  pressure  in  the  forehead  and  temples ;  throbbing  in  the 
head,  aching  in  the  small  of  the  back,  and  scanty  discharge  of 
urine.  It  is  also  useful  when  the  lochia  are  too  profuse  in 
quantity  and  of  a  deep  red  color,  with  internal  burning  pains  in 
the  region  of  the  uterus. 

Pulsatilla  will  be  most  serviceable  for  sudden  suppression  of 
the  lochia,  from  mental  emotions,  exposure  to  dampness,  or  any 
accidental  cause,  particularly  if  it  is  followed  by  fever  either 
with  or  without  thirst;  headache  confined  to  one  side  ;  coldness 
of  the  feet;  frequent  desire  to  pass  water.  The  symptoms  are 
generally  worse  towards  evening,  and  better  in  the  morning. 
This  remedy  is  also  useful  when  the  discharge  is  too  scanty 
without  being  entirely  suppressed. 

Dulcamara  will  be  useful  in  cases  of  suppression  occasioned 
by  exposure  to  cold  or  dampness,  and  may  either  precede  or 
folhjw  Pulsatilla  advantageously. 

Opium  and  also  Aconitum,  have  been  recommended  for  sup- 
pression arising  from  fright,  and  attended  by  congestion  to  the 
head. 

Platinum^  for  suppression  consequent  upon  some  mental  emo- 
tion, and  accompanied  by  dryness  and  over-sensitiveness  of  the 
sexual  orsrans. 

Belladonna  will  be  serviceable  when  the  discharge  continues 
loo  long  and  becomes  thin  and  offensive,  producing -excoriation 
of  the  parts. 

Sccnle  has  also  been  recommended  under  the  same  cir- 
cumstances. 

Milk  Fever. — Usually  about  twelve  or  twenty-four  hours  after  delivery, 
milk  makes  its  appearance ;  it  mav,  however,  be  present  at  the  time  of,  or 
u  2^ 


290  TREATMENT   OP   DISEASlflS. 

even  previous  to  delivery,  or  it  may  not  appear  until  a  later  period  than  the 
third  day.  The  coming  of  this  secretion  is  frequently  attended  by  so  much 
Buffering  as  to  require  medical  attention.  The  following  medicines  will  be 
found  useful,  when  administered  according  to  the  indications  mentioned  under 
each. 

Arnica,  given  internally  and  the  diluted  tincture  applied  to 
the  breast  in  the  form  of  a  lotion  once  or  twice  a  day,  will  be 
beneficial  when  there  is  much  distension,  with  soreness  or 
hardness. 

Aconitum,  if  there  is  much  fever,  with  hot,  dry  skin  ;  redness 
of  the  face;  breasts  hard  and  knotted;  restlessness;  anxiety  and 
discouragement, 

Bryonia,  after  the  latter,  when  the  symptoms  have  been  but 
partly  removed  by  that  remedy,  and  especially  if  there  is  oppres- 
sion of  the  chest,  violent  pain  in  the  head,  and  constipation. 

Belladonna  may  be  given  after  or  in  alternation  with  Bryonia^ 
when  the  latter  has  not  been  sufficient  to  remove  the  symptoms 
entirely.    ' 

Chamomilla  will  have  the  preference  when  there  is  much  ner- 
vous excitement,  with  restlessness;  tenderness  of  the  breasts, 
and  inflamed  nipples. 

Pulsatilla,  in  severe  cases,  when  there  is  great  distension  of 
the  breasts,  with  soreness  and  rheumatic  pains  extending  to  the 
muscles  of  the  chest,  shoulders,  under  the  arms,  &c.  A  timely 
administration  of  this  remedy  will  in  many  instances  prevent  a 
threatened  attack  of  child- bed  fever. 

Rhus  toxicodendron,  in  cases  similarto  the  latter,  with  rheumatic 
pains  throughout  the  system;  swelling,  heat,  and  hardness  of  the 
breasts  ;  headache ;  stiffness  of  the  joints,  and  general  constitu- 
tional disturbance. 

A  common  and  good  local  application  to  the  breasts,  is  to  bathe  them  with 
hot  lard  and  afterwards  cover  them  with  raw  cotton. 

Suppressed  Secretion  of  Milk. — When  from  sudden  and  powerful  mental 
emotions,  exposure  to  cold  or  dampness,  or  any  cause  whatever,  the  secretion 
of  milk  has  been  suddenly  checked  and  is  followed  by  some  internal  or  local 
congestion,  determination  of  blood  to  the  head,  and  the  usual  train  of  symp- 
toms which  constitute  child-bed  fever,  the  immediate  administration  of  Pulsa- 
til  In  will  frequently  be  found  sufficient  to  check  the  disease  at  the  outset  and 
restore  the  flow  of  milk.  If  any  unpleasant  symptoms  still  remain,  they  will 
IQ  most  cases  yield  to  the  administration  of  Calcarea  carbonica. 


CHAP.  XI.  DISEASES   OF   WOMEN.  291 

If  real  fever,  dry,  hot  skin,  quick,  hard  pulse,  &c.,  makes  its  appearance, 
Aronihun  should  be  given,  until  some  amelioration  of  the  symptoms  take 
place.  When  along  with  the  above  symptoms  there  is  great  restlessnesB  and 
nervous  excitement,  benefit  will  be  derived  from  giving  Aconitum  and  Coffea 
alternately. 

In  some  cases  Bryonia,  Belladonna,  Rhus,  Arsenicum  or  Sulphurn\&y  be 
called  for. 

Excessive  Secretion  of  Milk. — It  sometimes  happens  that  the  secretiou 
of  milk  is  too  abundant,  causing  painful  distension  of  the  breasts  and  involun- 
tary emission  of  milk,  followed  by  emaciation  and  debility.  In  cases  of  this 
description,  Calcarea  carbonica  will  generally  give  relief,  or,  if  it  should  fail. 
Phosphorus  or  Rhus. 

Involca'tary  Emission  of  Milk.— Occasionally  females  are  very  much 
annoyed  for  some  time  after  confinement  by  the  constant  escape  of  the  milk, 
which  keeps  them  continually  wet,  and  makes  them  very  liable  to  take  cold 
on  the  slightest  exposure. 

Unless  it  is  owing  to  some  organic  defect  of  the  nipple,  the  following  reme- 
dies will  generally  relieve  it. 

China,  when  it  is  caused  by  debility  from  loss  of  fluids. 

Rhus,  if  from  over-distension  in  consequence  of  excessive  secretion  of  milk. 

Calcarea  carbonica,  or  FulsatiUa,  may  also  be  useful  in  some  instances. 

Diarrhcea  during  Confinement. — Diarrhoea  in  lying-in  women  is  a  state 
to  be  looked  on  as  highly  injurious,  and  means  should  be  taken  to  remove  it 
as  speedily  as  possible. 

Dulcamara  will  generally  be  sufficient,  when  tlie  diarrhoea  has 
been  caused  by  a  check  of  perspiration,  produced  by  chill  from 
exposure  to  cold  or  dampness ;  if  the  diarrhoea  is  worse  in  the 
afternoon  or  at  night,  the  pains  cease  after  an  evacuation. 

Pulsatilla^  if  accompanied  by  much  ineflfectual  straining,  if  it 
makes  the  parts  sore,  or  if  there  is  only  a  discharge  of  mucus 
with  pain  in  the  anus,  chilliness ;  the  diarrhoea  occurs  mostly  in 
the  night,  or  early  in  the  morning. 

Hyoscyamus,  when  the  evacuations  are  painful  or  involun- 
tary. 

Ehetim,  if  the  stools  smell  sour  or  foetid ;  if  there  is  much 
straining  and  pain  after  an  evacuation ;  mostly  towards  night; 
if  there  is  great  weakness  and  fear  of  death. 

Antimonmm  cruclum,  if  worse  in  the  night  and  early  in  the 
morning ;  tongue  coated  white,  with  eructations ;  for  women 
who  are  easily  moved,  or  who  are  morose. 

Secale  for  offensive,  very  weakening  diarrhoea. 


292  TREATMENT   OF   DISEASES. 

Phosphoric  acid,  in  obstinate,  protracted  cases,  when  the  di3 
charge  is  watery,  or  painless  and  almost  involuntary. 

See  also  the  article  "  Diarrhoea,"  in  a  preceding  chapter,  for  other  remediea 
which  may  be  required. 

Constipation. — It  is  natural  for  the  bowels  to  remain  inactive  for  a  few 
days  after  delivery,  and  nothing  should  be  given  to  disturb  this  state,  as  it  is 
at  all  times  a  good  symptom  and  serves  to  promote  the  strength  of  the 
patient.  Purgative  medicines  should  in  no  case  be  given  during  confinement, 
as  they  can  do  no  good  whatever,  and  are  often  highly  injurious  to  the  patient. 
If,  after  the  lapse  of  five  or  six  days,  the  patient  complains  of  fulness  of  the 
head  or  pain  in  the  bowels,  a  dose  or  two  of  Bryonia  will  generally  bring  about 
an  evacuation  and  afford  relief.  Should  this  be  insufBcient,  Kiix  vomica,  Sul- 
phtir,  or  some  other  of  the  remedies  recommended  under  "  Constipation,"  may 
be  given.  If  after  waiting  a  day  or  two,  no  evacuation  takes  place,  give  an 
injection  of  lukewarm  water. 

Retention  of  Urine. — Sometimes  after  delivery,  particularly  with  first 
children  and  in  difficult  labors,  there  is  retention  or  painful  emission  of  urine. 
The  administration  of  one  of  the  following  remedies  will  generally  afford 
relief:  Arnica,  Pulsatilla,  Cepa,  Belludoima  or  Nux  vomica.  See  Chap.  X. 
Sitting  over  a  pan  which  contains  warm  water,  will  often  have  the  desired 
effect. 

Sore  Nipples. — The  chief  difficulty  in  the  way  of  healing  sore  nipples, 
arises  from  their  being  constantly  torn  open  afresh  by  the  efforts  of  the  child 
in  sucking. 

In  the  majority  of  cases,  if  proper  attention  is  paid  to  the  preparation  of  the 
breasts  previous  to  confinement,  by  bathing  them  with  cold  water  or  a  weak 
solution  of  Tincture  of  Arnica,  as  recommended  under  the  heading  of  "  Pre- 
paration of  the  Breasts,"  this  soreness  may  be  prevented. 

When,  however,  there  is  a  tendency  to  tenderness  and  excoriation,  the  in- 
ternal administration  of  Arnica,  and  bathing  the  nipples  with  a  solution 
consisting  of  about  ten  drops  of  the  Tinciire  of  Aniicn  to  half  a  tumbler  of 
water,  several  times  daily,  will  mostly  remove  it.  Should  this  be  insufficient, 
it  will  be  necessary  to  resort  to  Sulphur,  Calcarea  carbunica,  or  some  other 
remedies  calculated  to  correct  the  constitutional  taint  to  which  this  disease 
generally  owes  its  origin. 

Washing  the  nipples  with  cold  water  every  time  the  child  has  taken  the 
breast,  and  then  sprinkling  them  with  powdt-red  gum  Arabic,  or  still  better 
with  finely  powdered  white  sugar,  will  be  found  very  beneficial. 

Sulphur,  when  the  nipples  are  sore  and  chapped,  with  deep  fissures  around 
the  base,  which  bleed  and  burn  like  fire. 

Calcarea,  in  cases  similar  to  Sulphur,  when  the  latter  fails  to  relieve. 

Nux  vomica  for  soreness  of  the  nipples  with  painful  excoriation  of  the  ad- 
jacent parts. 

In  obstinate  cases,  Lycopodium,  Mercurius  and  Silicea  will  be  found  valuable. 

Gathered  Breasts. — Inflammation  and  suppuration  of  the  breasts  are 
liable  to  occur  during  the  whole  period  of  nursing,  and  may  arise  from 
numerous  causes,  such  as  cold,  passion,  fright,  bruise,  &c.  Putting  the  child 
too  late  to  the  breast,  or  the  sudden  stoppage  of  suckling — from  death  of  the 


CHAP.  XI.  DISEASES   OF   WOMEN.  293 

child  or  other  reasons — frequently  occasions  distensions  of  the  breast  followed 
by  inflammation  and  formation  of  abscesses. 

The  most  effectual  means  of  preventing  suppuration  is  to  keep  the  breasts 
well  drawn  ;  if  the  child  is  unable  to  do  this,  nipple-glasses,  a  common  tobacco 
pipe,  or  still  better  the  lips  of  a  nurse,  or  another  adult  person,  should  be  made 
use  of. 

Bryonia  is  the  principal  remedy  in  the  commencement,  espe- 
cially when  the  breasts  become  swollen,  hard  and  feel  heavy, 
with  shooting  pains,  dry  skin,  thirst,  and  other  febrile  symp- 
toms. 

Belladonna,  after  or  alternately  with  Bryonia,  when  there  is 
much  swelling  and  hardness  of  the  breasts ;  shooting  and  tearing 
pains,  and  redness  of  the  skin,  sometimes  like  erysipelas.  These 
two  remedies  will  generally  be  sufficient  to  effect  a  cure ;  if,  how- 
ever, some  degree  of  hardness  still  remain,  Mercurius  should  be 
given,  and  repeated  a  few  times,  at  intervals  of  ten  or  twelve 
hours. 

Hepar,  when  suppuration  has  already  commenced,  which  may 
be  known  by  the  appearance  of  throbbings,  frequently  preceded 
by  a  chill. 

Phosphorus,  when  there  is  profuse  discharge  of  matter,  after  or 
in  alternation  with  Hepar. 

Silicea,  in  cases  in  which  the  discharge  becomes  fetid,  thin  and 
watery,  and  comes  from  several  openings,  which  are  not  disposed 
to  heal. 

Sulphur,  in  inveterate  cases,  when  there  is  profuse  discharge 
of  matter,  with  emaciation,  fever,  &c. 

Weakness  from  Nursing — If  the  mother  cannot  sleep  well,  feels  bad  in 
the  morning,  has  no  appetite,  or  perspires  much,  commences  to  cough,  and  is 
very  sensitive  to  the  least  breath  of  air,  give  China.  Her  food  ought  to  be 
altered  too,  she  must  eat  grits  made  of  barley  or  oats,  chocolate  and  par- 
ticularly lentils.  If  her  breath  begins  to  smell  feverish,  she  ought  to  eat 
sago,  arrow-root  or  similar  things  with  sugar  and  drink  a  little  wine,  especially 
in  the  morning  and  evening.  She  should  take  something  nourishing  early  in 
the  morning  and  between  meals.  The  child  must  not  be  kept  on  the  breast 
the  whole  night,  it  should  be  accustomed  to  sleep  and  nurse  at  certain  regular 
times. 

Falling  off  of  the  Hair.— Some  females,  while  nursing,  suffer  from  a 
falling  off  of  the  hair  of  the  head. 

The  following  remedies  will  be  found  useful :  Sulphur,  Lycopodmm  or  Calca- 
rea.'   Ihey  may  be  repeated  once  or  twice  a  week,  beginning  with  Sulphur. 

26* 


294  TREATMENT   OF   DISEASES. 

CHAPTER    XII 

TREATMENT    OP    INFANTS. 

Reception  at  Birth. 

When  the  child  is  born  before  the  arrival  of  the  physician,  it  should  be 
removed  a  little  out  of  the  discharges,  so  as  to  enable  it  to  broathe  freely  ; 
and  if  the  cord  is  coiled  around  the  neck,  limbs,  or  any  part  of  the  body,  it 
should  be  immediately  disengaged,  in  order  that  the  circulation  between  the 
mother  and  child  may  not  be  obstructed  before  respiration  is  fully  established 
in  the  latter.  The  mouth  and  nostrils  should  also  be  cleansed  from  mucus  ; 
the  readiest  method  of  doing  this  is  with  a  piece  of  fine  linen  or  muslin, 
wrapped  round  the  finger.  If,  after  these  things  are  attended  to,  the  child 
begins  to  cry  strongly,  and  the  skin  changes  from  a  dull  or  leaden  hue  to  a 
pink  or  rose  color,  there  is  no  further  cause  for  alarm,  as  both  mother  and 
child  may  remain  in  this  condition  without  danger. 

As  soon  as  the  respiration  of  the  child  is  fully  established,  and  the  pulsa- 
tions in  the  chord  have  ceased,  the  child  may  be  removed  from  the  mother, 
provided  there  is  any  person  at  hand  willing  to  undertake  it. 

The  c.ird  should  be  tied  in  two  places,  the  first  ligature  at  about  an  inch 
and  a  half  from  the  abdomen  of  the  child,  the  second  three-fourths  of  an  inch 
from  the  first,  and  the  cord  cut  between  the  two,  using  for  this  purpose  a  pair 
of  scissors.  The  best  ligature  is  one  made  of  sewing  thread,  by  twisting 
several  threads  together ;  a  piece  of  narrow  tape,  however,  or  round  bobbin, 
sufficiently  strong,  will  answer.  It  should  be  passed  but  once  around  the 
cord,  tied  firmly  in  a  hard  knot,  and  the  ends  cut  off. 

The  child  may  then  be  taken  up,  by  placing  one  hand  under  the  head  and 
shoulders,  and  taking  hold  of  the  feet  with  the  other,  and  wrapped  in  a  blanket 
or  sheet  moderately  warmed  and  prepared  for  this  purpose. 

Apparent  Death. 

In  case  the  new-born  infant  does  not  breathe  in  a  few  minutes  after  delivery, 
and  is  apparently  dead,  means  should  be  immediately  taken  to  revive  it.  The 
body  and  limbs  should  be  wrapped  in  warm  cloths — flannel  is  preferable — and 
the  hands  and  the  chest  gently  rubbed  with  a  piece  of  flannel.  If,  after  a 
short  time,  pulsation  can  be  felt  in  the  cord,  and  the  beatings  of  the  child's 
heart  become  perceptible,  respiration  will  soon  be  fully  established,  and 
nothing  more  need  he  done.  But  if,  after  continuing  these  eflbrts  for  five  or 
ten  minutes,  no  pulsation  can  be  felt,  the  cord  should  be  cut,  and  the  child 
immersed  in  a  warm  bath,  being  careful  to  keep  the  face  out  of  the  water. 
In  this  bath  rub  and  squeeze  the  chest  and  limbs  gently.  If  no  signs  of  ani- 
mation are  manifested  after  five  or  ten  minutes,  dissolve  about  as  much  tartar 
emetic  as  will  lie  on  the  point  of  a  penknife  in  half  a  tumbler  of  water,  and 
after  stirring  it  well,  apply  a  single  drop  of  the  mixture  to  the  tongue  of  the 
child,  with  the  point  of  the  finger.  If  no  change  occurs  in  fifteen  minutes, 
repeat  the  experiment  again.  If  no  change  takes  place  after  ten  to  fifteen 
minutes,  put  one  teaspoouful  of  the  mixture  into  a  cupful  of  warm  water,  and 
Use  it  as  an  injection.    While  this  is  doing,  cold  water  or  spirits  may  be  applied 


CHAP.  XII.  TREATMENT   OF   INFANTS.  295 

to  its  breast,  either  with  the  palm  of  the  hand,  or  by  letting  a  small  ftream 
of  cold  water,  from  the  spout  of  a  tea-pot,  fall  upon  it  from  a  height  of  two 
or  three  feet.  Much  benefit  will  also  frequently  be  derived  from  placing  the 
mouth  over  the  child's  mouth,  and  blowing  gently  so  as  to  inflate  the  lungs, 
closing  the  child's  nostrils  at  the  same  time  between  the  thumb  and  finger,  to 
prevent  the  air  from  passing  out  through  the  nose.  Care  should  be  taken  not 
to  force  too  much  air  into  the  child's  lungs  at  once,  lest  they  be  injured.  A  ftor 
the  lungs  are  filled,  the  chest  should  be  compressed  gently  with  the  hands,  or 
by  drawing  upon  the  ends  of  a  napkin  which  has  been  previously  wrapped 
round  it,  to  expel  the  air.  These  efforts  should  be  repeated  several  times, 
allowing  a  few  moments  to  elapse  between  each. 

Infants  have  sometimes  been  restored  after  laboring  with  them  for  two  or 
three  hours  ;  we  should  not,  therefore,  give  up  our  eflbrts  at  restoration  too 
soon,  as  they  may  ultimately  be  successful. 

Washing  the  Child. 

This  should  be  done  immediately  after  birth,  using  for  the  purpose  luke- 
warm water,  a  flannel  wash-rag,  and  but  a  small  portion  of  fine  (white)  soap. 
The  white  unctuous  substance,  which  to  a  greater  or  less  extent  covers^  the 
body  of  every  newly-born  child,  and  which  adheres  with  great  tenacity,  is  best 
removed  by  rubbing  the  parts  covered  with  it,  previous  to  washing,  freely  with 
hog's  lard,  until  the  two  substances  become  thoroughly  mixed.  After  the 
child  has  been  well  washed,  it  should  be  wiped  perfectly  dry  with  a  fine 
napkin. 

The  practice  of  bathing  children  with  spirits  is  highly  reprehensible,  and 
should  in  all  cases  be  prohibited.  Intemperance,  and  blunted  moral  sensi- 
bilities iu  after  life  have  their  foundations  frequently  laid  in  infancy  by  the 
improper  use  of  alcoholic  liquors. 

The  child  should  be  bathed  at  least  once  a  day  ;  at  first  with  luke-warm 
water,  gradually  lowering  the  temperature,  and  after  a  few  weeks  using  cold 
water. 

Dressing  the  Navel. 

The  proper  method  of  dressing  the  navel  is  to  fold  a  piece  of  soft  linen  or 
tnuslin  into  four  or  six  thicknesses,  making  it  six  or  e^ght  inches  long  and 
three  or  four  wide.  A  hole  is  to  be  made  through  the  centre  of  this,  and  the 
cord  passed  through.  The  cord  should  then  be  tightly  wrapped  with  repeated 
turns  of  a  narrow  strip  of  linen  or  muslin,  and  laid  up  towards  the  breast  of 
the  child,  and  the  lower  end  of  the  linen  or  muslin  folded  over  it,  and  the 
whole  secured  by  the  belly-band,  which  should  always  be  made  of  a  strip  of 
fine  flannel.     The  navel  usually  comes  ofi'  from  the  fifth  to  the  eighth  day. 

The  Meconium. 

The  first  evacuation  from  the  infant's  bowels  consists  of  a  dark  bottle- 
green  colored  substance,  called  meconium.  Generally  the  bowels  are  moved 
a  few  hours  after  birth,  and  require  no  artificial  aid  :  the  milk  of  the  mother 
exciting  a  mechanical  action  iu  the  bowels,  assists  in  effecting  this  object.  In 
case,  however,  the  discharge  should  be  too  long  delayed,  and  the  child  become 
uneasy  and  restless,  a  few'teaspoonfuls  of  warm  sugar  and  water  may  be  given 
to  it,  which  will  generally  have  the  etiect  desired.     Should  this  not  be  sufiB- 


296  TREATMENT   OF   DISEASES. 

cient,  and  the  child's  bowels  are  not  moved  as  freely  or  as  frequently  as  they 
ought  to  be  during  the  first  few  days,  a  dose  or  two  of  Nux  vomica,  Bryonia 
or  Sulphur  may  be  administered  to  both  mother  and  child.  Laxative  medi- 
cines should  never  be  given  to  infants  for  the  purpose  of  purging  off  the 
meconium,  as  to  this  too  common  practice  of  nurses,  many  chronic  diseases 
of  after-life  are  to  be  attributed. 

Swelling  and  Elongation  of  the  Head. 

It  is  common  for  the  head  of  the  infant  to  be  swollen  and  elongated  imme- 
diately after  birth,  especially  when  the  labor  has  been  difficult  and  protracted, 
and  occasionally  a  tumor  appears  on  the  back  or  top  of  the  head.  This  will 
generally  disappear  of  itself  in  a  few  days.  In  case  the  swelling  should  be 
extensive,  repeated  washings  with  cold  water,  or  a  weak  solution  of  Tincture 
'of  Arnica — three  or  four  drops  to  half  a  tumbler  of  water — will  hasten  its 
removal ;  if  not  better  in  two  or  three  days,  give  Rhus. 

Putting  the  Child  to  the  Breast. 

The  child  should  be  put  to  the  breast  in  five  or  six  hours  after  delivery, 
if  the  mother  is  able  to  bear  the  fatigue.  'I'his  should  be  done  even  if  the 
mother  has  no  milk,  as  the  child  will  be  taught  to  suck,  and  the  secretion  of 
milk  hastened  by  it.  There  will  also  be  less  liability  to  sore  nipples,  distended 
breasts,  and  milk  fever. 

If  the  coming  of  the  milk  should  be  delayed  for  a  day  or  two,  the  child 
should  be  nourished  meanwhile  with  fresh  cow's  milk,  diluted  with  an  equal 
quantity  of  warm  water,  and  sweetened  with  loaf  sugar.  The  milk  should 
always  be  obtained  from  the  same  cow  if  possible.  Young  infants  should 
never  have  gruel,  pap,  panada,  or  cooked  food  of  any  kind. 

Always,  before  applying  the  child,  the  nipple  should  be  moistened  with 
milk  and  water,  sweetened  water,  or  saliva.  Infants  will  be  benefitted  by 
giving  them  a  few  teaspoonfuls  of  cold  water  every  day. 

Sore  Eyes. 

Quite  young  infants  are  liable  to  inflammation  of  the  eyes  and  eyelids.  In 
most  instances  the  lids  only  are  affected  at  first,  but  the  eye-balls  soon  become 
involved  if  the  disease  is  neglected  in  the  commencement.  The  most  com- 
mon causes  of  this  affection  are,  exposure  of  the  eyfes  to  too  strong  a  light, 
or  from  taking  cold  by  exposing  the  child  to  a  draft  of  air,  &c. 

The  following  will  generally  remove  this  disorder: 

Aconite  should  be  given  first,  especially  if  the  inflammation 
arises  from  exposure  of  the  eyes  to  too  much  light ;  and  the  en- 
tire eye  becomes  red,  and  runs  a  good  deal. 

Belladonna^  after  or  alternately  with  Aconite^  when  the  whites 
of  the  eyes  are  very  red ;  with  bleeding  from  the  eye-lids ;  in- 
tolerance of  light,  &c. 

Jgnatia,  in  cases  similar  to  Aconite,  after  that  remedy  has  been 
given  without  much  benefit. 


CHAP.  XII.         TREATMENT  OF  INFANTS.  297 

Chamomilla,  when  the  eye-lids  are  swollen,  bleed,  and  are 
glued  together  in  the  morning  with  a  yellowish  secretion. 

Mercurius,  when  there  is  redness  of  the  eyes  and  eye-lids- 
small  yellowish  ulcers  along  the  margins  of  the  lids ;  with  dis- 
charge of  yellowish  matter,  kc. 

Pulsatilla,  when  there  is  profuse  discharge  of  purulent  matter 
from  the  eyes,  with  redness  of  the  whole  eye  and  interior  of  the 
lids. 

Calcarea  carb.  and  Bhiis  are  also  useful ;  compare  "  Affections 
of  the  Eyes." 

Euphrasia  is  also  valuable  in  many  cases  of  this  complaint, 
especially  when  there  is  accumulation  of  matter  in  the  eyes,  and 
intolerance  of  light. 

Obstruction  of  the  Nose.    "  Sniffles." 

The  nostrils  of  infants  often  become  obstructed  from  a  species 
of  catarrh,  which  prevents  them  from  breathing  while  suckling. 

Nux  vomica  given  at  night,  will  mostly  afford  relief;  if,  how- 
ever, the  complaint  still  continues  in  the  morning,  give  Sam,' 
bucus. 

GhamomiUa,  if  the  obstruction  is  attended  with  much  running 
of  water  from  the  nose. 

Calcarea,  when  Chamomilla  has  been  given  without  success. 

Carbo  vegetabilis,  when  the  complaint  is  worse  every  evening; 
Dulcamara,  when  worse  in  the  open  air. 

Mercurius,  when  there  is  much  sneezing  and  a  thickish  dis- 
charge from  the  nose. 

Tartarus  emetic,  if  there  is  rattling  of  mucus  in  the  chest  which 
is  worse  at  night,  along  with  the  running  from  the  nose. 

Sore  Mouth.    Thrush. 

It  is  generally  produced  by  want  of  a  proper  attention  to  cleanliness,  and 
by  the  use  of  improper  food  ;  and  hence  children  raised  either  partially  or 
wholly  by  hand,  are  more  liable  to  this  affection  than  those  who  are  nourished 
exclusively  by  the  mother's  milk.  The  mouth  should  be  well  washed  several 
times  a  day  with  cold  water. 

Mercurius  should  be  given  when  the  disease  first  makes  its 


298  TREATMENT   OF   DISEASES. 

appearance,  and  also  in  cases  when  there  is  much  salivation,  and 
the  thrush  shews  a  tendency  to  ulceration. 

Sulphur  should  follow  Mercurius  when  the  latter  fails  to  effe  't 
a  cure  after  a  few  days. 

Arsenicum,  will  be  indicated  in  bad  cases,  the  two  preceding 
remedies  having  failed  to  check  the  disease,  and  the  thrush  an- 
sume  a  livid,  or  bluish  appearance,  attended  with  great  weaknes? 
and  diarrhoea. 

Bryonia  and  Nux  vomica  may  also  be  useful  in  some  cases. 

A  coniinon  remedy  in  old-school  practice,  and  one  which  is  homceopathic 
too  in  many  cases  of  the  disease,  consists  of  powdered  Borax  and  loaf  s'lgar 
mixed  in  equal  parts  and  applied  to  the  mouth  of  the  child,  three  or  fouj 
times  a  day.  Or  a  few  grains  of  the  Borax  may  be  dissolved  in  a  teacupful 
of  water,  and  the  mouth  of  the  child  washed  with  the  solution  two  or  three 
times  a  day.  This  remedy  should  not,  however,  be  continued  too  long,  lest 
it  prove  injurious  by  aggravating  the  disease. 

Sore  Throat. 

Often  prevents  infants  from  suckling ;  they  are  very  eager  to  take  the 
breast,  commence  to  suck,  but  as  soon  as  they  attempt  to  swallow  they  cry 
and  the  milk  is  heard  to  gurgle  in  the  mouth  or  runs  out  of  it ;  they  are 
generally  hoarse.  If  they  are  very  restless,  cry  before  passing  water,  and 
have  red  cheeks,  give  Aconite.  If  the  whole  face  is  red,  Belladonna  or  Rhvs. 
Ji'hns  if  the  throat  is  dark  red,  if  they  do  not  perspire,  but  become  very  hot 
towards  night,  and  remain  dry  ;  if  the  eyes  are  red  more  outwardly,  if  Rhus 
is  not  sufficient,  give  Bryonia;  Belladonna  W  they  perspire  much;  if  the 
throat  looks  bright  red,  if  the  eyes  are  red  inside ;  if  Belladonna  is  not  suffi- 
cient, give  Mercurius. 

Jaundice. 

This  disease  occasionally  occurs  in  infants,  and  may  be  known  by  the  yel- 
lowness of  the  whites  of  the  eyes  and  urine  in  the  commencement,  and  after- 
ward of  the  skin  of  the  whole  body.  The  bowels  are  sometimes  costive,  and 
at  others  loose,  and  the  stools  are  generally  light  or  clay-colored.  The  dis- 
ease may  arise  from  exposure  to  cold,  or  from  the  injurious  practice  of  admin- 
istering aperient  medicines  immediately  after  birth,  and  other  causes. 

Chamomilla  may  be  given  first,  and  in  many  cases  will  be  of 
itself  sufficient  to  effect  a  cure. 

Mercurius  may  follow  Chamomilla  when  the  symptoms  have 
only  been  partially  removed  by  the  latter,  or  when  that  remedy 
has  failed  to  afford  any  relief. 

China,  when  there  are  any  symptoms  remaining  after  the  use 
of  the  foregoing  remedies. 


CHAP.  XII.  TREATMENT   OF   INFANTS.  299 

Nux  vomica^  if  the  complaint  is  accompanied  bj  costiveness  of 
the  bowels,  and  the  child  is  extremely  irritable. 

Excoriation. 

Soreness  of  tender  parts  arises  seldom  from  not  washing  the  child  ;  it  is 
nearly  always  a  skin-disease,  and  the  child  is  injured  by  washing  with  Castile 
soap,  which  hurts  and  burns  the  poor  infant  just  as  much  as  s'oap  does  you 
when  it  getfS  into  your  eyes.  Wash  the  infant  with  lukewarm  wafer  only, 
loithmif  any  ruhbing  when  wiping  it  dry.  Bathing  the  infant  frequently  will 
be  of  great  benefit. 

Chamomilla  will,  in  most  cases,  be  sufficient,  when  it  has  not 
been  produced  by  the  use  of  chamomile-tea,  taken  either  by  the 
mother  or  child,  in  which  case  Pulsatilla,  or  Ignatia,  should  be 
given. 

Mercurius,  when  the  excoriation  is  extensive,  and  there  is 
yellowness  of  the  skin,  which  Chamomilla  has  failed  to  remove. 

Rhus  will  cure  it,  if  red  pimples  appear  on  the  head. 

Sulphur  or  Carbo  vegeiahilis  in  obstinate  cases. 

The  Gum. 

The  term  "gum"  or  "red  gum"  is  given  to  an  eruption  of  red  pimples, 
which  makes  its  appearance  in  early  infancy,  and  chiefly  occupies  the  face, 
neck,  and  arms ;  it  may,  howevei",  extend  to  the  whole  body. 

The  disorder  is  frequently  the  result  of  inattention  to  cleanliness,  keeping 
the  child  too  warm,  and  giving  it  herb  teas. 

A  few  doses  of  Rhus  will  generally  be  suiBcieut. 

Retention  of  Urine. 

This  complaint  often  occurs  in  young  infants,  and  requires  immediate 
attention.  It  will  generally  be  removed  by  Aconite.  Should  this  fail,  Pulsa- 
tilla will  generally  sufiBce.     Consult  also  the  same  article  in  Chapter  X. 

Constipation. 

Constipation  in  children  is  frequently  produced  by  an  improper  mode  of 
living,  either  on  the  part  of  the  mother  or  nurse  or  child  ;  and  when  it  arises 
from  want  of  exercise,  too  much  animal  food,  &c.,  on  the  part  of  the  mother 
or  nurse,  it  may  be  removed  by  proper  attention  to  these  points.  As  a 
general  rule,  there  should  be  an  evacuation  from  the  bowels  at  least  once  a 
day  in  quite  young  children  ;  and  if  delayed  longer  than  this,  and  Bryonia, 
Nnx  vomica,  Opium,  Antimonium  crudum,  or  another  remedy  has  produced  no 
change,  these  remedies  must  be  given  to  the  mother  or  nurse.  Injections  of 
warm  water  may  also  be  given.  But  never  use  soap ;  every  observing  phy- 
sician must  have  s«en  the  bad  consequences  from  it  when  continued  for  a  long 
time      Every  nurse  who  uses  soap  for  an  infant,  ought  to  have  *i  little  Castile 


800  TREATMENT   OF   DISEASES. 

soap  put  into  one  of  her  eyes  for  about  two  minutes ;  and  every  physician  who 
recommends  it,  into  both  of  his  eyes  for  five  minutes,  without  permission  to 
touch  the  eyes.  If  they  now  know,  that  the  interior  of  the  rectum  is  as  irri- 
able  and  vulnerable  as  their  eyes,  they  may  realize  the  pain  and  torture  they 
are  subjecting  the  poor,  helpless  infant  to. 

Diarrhoea. 

Healthy  infants,  while  suckling,  usually  have  from  three  to  six  evacuations 
from  the  bowels  in  the  twenty-four  hours  ;  and  only  when  the  discharges  be- 
come more  frequent  than  this,  and  are  changed  in  character,  becoming  green 
and  watery,  or  yellow,  or  brown,  or  white  and  frothy  or  watery,  or  mixed  with 
mucus  or  bloud,  and  the  child  gives  evidence  of  sufifering,  does  it  become 
necessary  to  interfere  by  administering  medicines. 

Ipecacuanha^  when  the  diarrhoea  has  been  caused  by  over- 
loading the  stomach;  and  especially  if  accompanied  by  nausea 
and  vomiting;  paleness  of  the  face ;  frequent  crying;  the  stools 
of  a  bilious,  slimy,  or  greenish  yellow  color;  sometimes  blackish, 
or  streaked  with  blood,  and  of  a  putrid  odor. 

Rheum,  when  the  diarrhoea  has  arisen  from  acidity,  and  is 
attended  by  flatulent  distension  of  the  abdomen  ;  colic ;  crying 
and  straining  both  before  and  after  the  evacuations,  which  are 
frothy,  slimy,  and  watery,  and  smell  sour;  a  sour  smell  is  also 
emitted  from  the  body  of  the  child,  even  when  the  strictest 
attention  is  given  to  cleanliness,  ' 

Ghamomilla  in  diarrhoeas  of  a  bilious  watery,  frothy,  or  slimy 
character,  and  of  a  whitish,  greenish,  or  yellowish  color,  some- 
times having  the  appearance  of  beaten  up  eggs,  and  of  an  offen- 
sive odor,  like  that  of  rotten  eggs.  The  diarrhoea  is  frequently 
attended  by  colic,  with  fretfulness,  crying,  restlessness  and  draw- 
ing up  of  the  legs  toward  the  abdomen  ;  and  redness  of  the  face 
or  of  one  cheek. 

China  in  watery,  painless  diarrhoea  with  much  wind  in  the 
bowels,  and  undigested  appearance  of  the  milk  in  the  stools. 

Belladonna  is  frequently  indicated  in  the  commencement, 
when  the  child  is  disposed  to  sleep  a  good  deal,  but  is  restless, 
and  starts  up  suddenly ;  the  evacuations  greenish,  small,  and 
frequent. 

Aconite  in  diarrhoeas  attended  with  much  fever.  Opium  or 
Aconite  when  produced  by  fright. 


CHAP.  :SII.  TREATMENT   OF   INFANTS.  301 

In  case  the  diarrhoea  should  prove  obstinate  or  be  accompa- 
nied by  emaciation,  the  advice  of  a  homoeopathic  practitioner 
should  be  sought. 

Colic. 

Colic  is  a  common  affection  in  young  infants.  It  may  be  caused  by  errors 
of  diet  on  the  part  of  the  mother,  or  by  feeding  the  child  with  too  much 
or  unsuitable  food.  As  before  remarked,  young  infants  should  be  exclusively 
nourished  from  the  breast,  if  it  is  possible  ;  and  any  departure  from  this  is 
very  likely  to  be  followed  by  more  or  less  suffering.  Exposure  to  cold,  or 
any  cause  liable  to  affect  either  mother  or  child  injuriously,  may  induce  colic. 
The  attacks  are  sometimes  extremely  violent  and  frequent,  so  much  so  as 
almost  to  wear  out  both  mother  and  child ;  when  this  is  the  case,  there  is 
generally  some  constitutional  predisposition.  It  is  also  frequently  attended 
by  diarrhoea. 

GJiamomilla  will  be  sufficient  in  most  cases,  especially  if  the 
pain  is  attended  by  distension  of  the  abdomen,  crying,  writhing 
and  twisting,  drawing  up  the  legs  towards  the  abdomen,  and 
coldness  of  the  feet. 

Ipecacuanha^  when  the  colic  is  attended  by  sickness  and  diai- 
rhoea,  the  stools  fermenting  and  of  a  putrid  odor. 

China  against  colic  with  distension  and  hardness  of  the  abdo- 
men ;  the  attacks  are  more  liable  to  come  on  towards  evening ; 
screaming  followed  by  laughing. 

Nux  vomica,  when  the  attacks  of  colic  are  attended  by  cos- 
tiveness. 

Pulsatilla  in  flatulent  colic,  with  rumbling  of  wind  in  the  abdo 
men ;  shivering  and  paleness  of  the  flice,  and  tenderness  of  the 
abdomen. 

Swelling  of  the  Breasts. 

The  breasts  of  infants  are  sometimes  swollen  at  birth,  or  some  time  after; 
this  is  frequently  caused  or  aggravated  by  the  highly  reprehensible  practice, 
of  nurses  and  others,  of  squeezing  the  breast  with  the  mistaken  notion  that 
there  is  milk,  or  some  matter  in  them,  which  should  be  pressed  out.  Mothers 
canuot  be  too  careful  in  guarding  their  nurses  against  this  practice,  as  in 
Bome  instances  extensive  suppuration  has  been  produced  by  it,  resultijig  in 
disorganization  of  the  breasts,  and  in  females,  destroying  their  usei'uhiess  for 
ever. 

When  the  breasts  are  found  to  be  swollen,  a  linen  rag  wetted  with  sweet 
oil  should  be  applied  to  thein,  and  in  the  majority  of  instances  the  swelling 
will  disappear  in  a  few  days,  and  nothing  else  be  required.  If,  however,  the 
(swelling  should  become  extensive,  and  be  accompanied  by  redness  and  inflam- 

27 


802  TREATMENT   OF   DISEASES. 

matioD  of  the  breasts,  a  dose  or  two  of  Chamomilla,  followed  by  Belladonna, 
may  be  required.  It  may  also  be  necessary  to  apply  a  bread  and  milk  ponl- 
lice  iti  severe  cases.  When  the  inflammation  and  soreness  arises  from  squeez- 
ing and  pressing  the  breasts  and  nipples,  Arnica  should  be  given.  If  sup- 
puration has  taken  place,  a  few  doses  of  Uepar  should  be  given,  and  followed 
in  two  or  three  days  by  Silicca, 

Crying. 

The  occasional  crying  of  infants  should  not  be  a  cause  for  alarm,  as  this  is 
the  language  by  which  their  wants  are  made  known.  And  hence  they  cry 
when  they  are  hungry,  need  changing,  or  have  lain  too  long  in  one  position, 
&.C.  Only  in  cases  where  the  crying  is  excessive,  and  the  usual  means  of 
pacifying  them  fail,  we  may  suppose  they  are  suffering  from  pain,  and  should 
immediately  endeavor  to  ascertain  the  cause,  which  will  frequently  be  found 
to  be  some  mechanical  irritation,  such  ag  derangement  of  the  infant's  dress, 
or  a  pin  sticking  into  the  flesh,  &c. 

The  most  reprehensible,  ar  rather  criminal  practice  is  that  of  giving  lau- 
danum, or  other  preparations  of  opium,  to  infants.  '1  hey  will  be  ruined  ia 
body  and  mind  by  it, — they  will  never  be  so  healthy,  or  grow  to  such  an  age, 
as  tliey  would  do  without  ever  having  been  poisoned  in  this  way;  most  all  of 
these  unfortunate  infants  become  either  vicious  or  simpletons.  Good-for- 
nothing  nurses  will  often,  without  the  knowledge  of  the  parents,  give  lauda- 
num to  infants,  in  order  that  they  may  not  be  disturbed  in  their  ease  and 
laziprss. 

When,  however,  the  child  continues  to  cry  for  a  long  time  without  any 
apparent  cause, — 

Belladonna  will  frequently  prove  serviceable,  and  also  when 
it  starts  suddenly  out  of  sleep  and  begins  to  cry  violently. 

Acoitltum  or  Coffea,  if  Belladonna  should  fail,  will  often  be 
successful,  especially  when  the  crying  is  accompanied  by  uneasi- 
ness and  heat. 

Chamomilla  will  also  frequently  be  useful,  and  especially  if 
there  be  reason  to  think  the  crying  is  caused  by  earache  or 
headache. 

Restlessness  and  Wakefulness. 

Restlessness  and  inability  to  sleep  are  generally  produced  by  giving  the 
child  injurious  food,  or  overloading  its  stomach,  or  by  the  mother's  drinking 
cfiffee,  wine.  &c.,  or  making  use  of  some  other  improper  article  of  diet.  JSoine- 
times  it  is  caused  by  the  child's  head  lying  too  high  ;  the  head  of  an  infant 
ouuht  always  to  lie  low. 

Coffea  will  often  be  sufficient  to  remove  the  restlessness,  hot 
skin,  <!s:c. 

Opium  when  Loffta  is  insuf&cient,  and  there  is  redness  of  the 
face. 


h 


CHAP.  XII.  TREATMENT   OF  INFANTS.  303 

Chamomilla,  if  the  restlessness  be  attended  by  flatulency  and 
griping,  with  starts  and  jerkings  of  the  limbs,  or  feverishness 
with  redness  of  one  cheek. 

Belladonna^  when  the  child  appears  to  be  drowsy  but  cannot 
sleep,  or  falls  asleep  for  a  few  moments  and  starts  up  suddenly 
and  cries. 

Pulsatilla  or  Ipecacuanha,  when  the  restlessness  arises  from 
over-loading  the  stomach, 

Nux  vomica,  if  it  is  caused  by  either  mother  or  child  taking 
coffee  or  spirituous  liquors. 

Hiccough. 

Hiccough,  -when  long  continued,  sometimes  gives  rise  to  a  good  deal  of 
uneasiness,  especially  to  young  mothers ;  it  is  generally  caused  by  exposure 
of  some  part,  or  of  the  entire  body,  to  the  air,  even  in  a  warm  room,  or  while 
dressing  or  undressing  the  child.  Wrapping  the  infant  up  warmly,  or  giving 
it  the  breast,  will  generally  cause  it  to  cease.  Should  it  however  continue, 
the  administration  of  a  teaspoouful  of  water,  sweetened  with  white  sugar,  ipay 
be  given  ;  and  in  case  this  should  fail,  a  dose  of  Nux  vomica. 

Scurf  on  the  Head. 

Children  are  sometimes  troubled  with  a  dark  cr  dirty-looking,  unsightly 
incrustation,  which  generally  makes  its  appearance  on  the  top  of  the  head, 
partially  covering  the  scalp.  On  removing  any  part  of  this  crust,  the  skin 
will  be  found  red  and  inflamed. 

It  frequently  emits  quite  an  offensive  smell,  and  is  always  annoying  to  the 
child  by  the  irritation  and  itching  it  occasions.  Removing  it  forcibly  with  a 
fine  tooth  comb  will  not  cure  it,  but  be  more  likely  to  aggravate  it;  for  so 
long  as  the  diseased  state  of  the  scalp  remains,  it  will  be  reproduced. 

It  is  generally  caused  by  keeping  the  children  too  warm,  or  by  inattention 
to  cleanliness,  and  is  seldom  found  in  children  whose  heads  are  regularly 
washed  every  morning,  and  after  being  properly  dried,  brushed  with  a  soft 
hair-brush. 

Sidpliur,  administered  night  and  morning  for  several  days,  will  generally 
correct  any  tendency  that  may  exist  toward  this  formation. 

The  crust  may  be  removed  by  anointing  it  well  with  lard  at  night,  and  wash- 
ing it  ofi"  next  morning  with  a  weak  solution  of  soda.  This  application  may 
have  to  be  repeated  several  times. 

Milk-scab.     Milk-crust. 

This  IS  mostly  an  affection  of  young  infants,  and  is  characterized  by  an 
eruption  of  numerous  small  white  pustules,  appearing  in  clusters  upon  a  red 
ground.  They  generally  make  their  appearance  first  on  the  face,  particularly 
the  cheeks  and  forehead,  from  whence  they  sometimes  spread  over  the  entire 


304  TREATMENT   OF   DISEASES. 

body.     In  a  short  time  they  become  yellow  or  dark-colored,  burst,  and  forir 
thin  yellow  crusts. 

The  eruption  is  often  attended  by  considerable  redness  and  swelling  of  the 
surrounding  parts,  and  with  trontlesome  itching,  which  renders  the  child 
exceedingly  restless  and  fretful,  and  causes  it  to  rub  the  affected  parts  con- 
stantly, by  which  the  scabs  are  torn  off,  and  the  disease  is  aggravated, 

Acomtum,  should  be  administered  first,  whea  the  eruption  is 
surrounded  by  redness  and  inflammation  of  the  skin,  and  the 
patient  is  very  restless  and  uneasy. 

Ehus  m:iy  follow  Acojiittim,  if  after  the  lapse  of  a  few  days 
the  eruption  appears  to  be  but  little  improved. 

Suljyhur  will  be  beneficial  after  Bhus,  when  the  latter  fails  to 
produce  a  favorable  change,  or  when  the  improvement  pro- 
gresses but  slowly.  These  two  remedies  may  be  administered 
alternately  in  many  cases  with  great  advantage. 

Hepar^  Arsenicum  and  Lycopodium  may  also  be  serviceable  in 
tedious  cases. 

Scald  Head.    Ringworm  of  the  Scalp. 

This  disease  is  characterized  by  circular  red-colored  patches,  covered  with 
numerous  small  yellowish  points  or  pustules,  which  do  not  rise  above  the  level 
of  the  skin.  These  pustules  soon  break,  and  form  thin  scabs.  The  patches 
frequently  unite  with  adjacent  patches,  and  assume  an  irregular  and  extensive 
appearance,  and  sometimes  cover  the  whole  head.  These  incrustations,  by 
accumulation,  become  thick  and  hard,  and  when  removed,  the  surface  beneath 
is  left  red  and  glossy,  but  studded  with  slightly  elevated  pimples.  By  the 
long  continuance  of  this  eruption  the  hair  is  frequently  destroyed  ;  it  is  com- 
moidy  found  in  children  from  the  age  of  two  years'  to  that  of  puberty :  it  is 
not  confined  to  the  scalp,  but  appears  on  the  face,  neck,  and  other  parts  of 
the  body,  and  in  such  cases  is  less  difficult  to  cure  than  when  located  in  the 
scalp. 

This  disease  is  often  extremely  obstinate;  this  is  especially 
the  case  when  it  has  been  neglected  in  the  commencement,  or 
treated  with  washes  and  unguents,  the  only  effect  of  which  has 
been  to  aggravate  the  complaint,  and  render  the  cure  much 
more  difficult  when  proper  means  are  resorted  to. 

Rhus  will  generally  be  the  most  appropriate  remedy  with 
which  to  commence  tlie  treatment,  and  under  its  action  the  dis- 
ease will  often  undergo  a  favorable  change. 

Sulphur  may  follow  Bhus,  should  the  eruption  become  dry 
and  begin  to  exfoliate. 


CHAP.  XII.  TREATMENT   OF   INFANTS.  305 

Staphisagria,  sliould  it  become  moist  and  offensive,  attended 
with  violent  itching,  followed  by  Rhus  again. 

Arsem'cum  must  be  given,  if,  notwithstanding  the  administra- 
tion of  the  above  remedies,  the  disease  becomes  worse,  with  cor- 
rosive discharge,  or  formation  of  ulcers;  after  the  action  of  which 
Hhvs  will  frequently  produce  a  salutary  effect. 

Should  the  f  )reg()ing  remedies  be  insufficient  to  effect  a  cure, 
it  will  be  requisite  to  resort  to  the  use  of 

Hepar^  especially  when  the  disease  extends  to  the  forehead, 
face  and  neck,  or  v/hen  the  eyes  and  eyelids  become  red  and 
inflamed  ;  or 

Bryonia,  when  the  glands  of  the  neck  and  throat  become 
swollen,  red  and  painful,  or  if  they  are  swollen  and  hard  without 
being  painful,  Dulcamara. 

Antimonium  crudum,  given  once  a  day  for  several  days,  will 
frequently  have  a  salutary  eff'ect,  especially  when  a  thick  scab 
is  formed  on  the  head,  and  the  eruption  extends  over  tho 
entire  face,  with  itching  of  the  whole  body. 

In  protracted  cases  of  the  disease,  Galcarea  carb.^  Lycopodium, 
and  Sulphur  will  often  prove  serviceable.  Benefit  will  often 
result  from  the  alternate  administration  of  two  or  more  of  the 
remedies. 

In  relation  to  the  administration  of  the  remedies,  a  dose  may  be  given  in 
the  commencement  once  a  day,  or  every  other  day,  until  symptoms  of  improve- 
ment occur,  after  which  it  must  be  discontinued  as  long  as  the  improvement 
continues,  and  only  renewed  when  the  favorable  symptoms  become  stationary, 
or  the  disorder  appears  to  be  getting  worse.  When  no  improvement  follows 
the  administration  of  a  remedy,  after  waiting  for  its  action  for  several  days, 
another  must  be  selected.  In  cases  of  long  standing,  the  intervals  between 
the  repetition  of  the  doses  should  be  lengthened  considerably,  and  not  more 
than  one  or  two  doses  given  in  a  week. 

Until  the  disorder  is  removed,  the  strictest  attention  should  be  given  to 
cleanliness ;  the  head  should  be  gently  sponged  with  tepid  water  twice  a  day, 
the  hair  kept  closely  trimmed,  and  the  homoeopathic  rules  of  diet  closely 
adhered  to. 

Spasms  or  Convulsions. 

When  a  child  is  attacked  with  convulsions,  and  no  physician  is  at  hand,  the 
lower  extremities  up  to  the  knees  may  be  immersed  in  water,  as  hot  as  it  can 
be  borne,  for  the  space  of  five  or  ten  minutes,  or  until  the  fit  appears  partially 
Bubdued  :  after  which  the  child  should  be  wiped  perfectly  dry,  and  placed  in 

V  27* 


306  TREATMENT   OF   DISEASES. 

a  warm  wrapper ;  if  the  first  immersion  is  followed  by  no  relief,  or  a  second 
attack  speedily  follows,  it  should  be  repeated,  at  the  same  time  a  small  stream 
of  cold  water  should  be  poured  upon  the  head  of  the  child  from  a  height  of 
two  or  three  feet;  this  course,  several  times  repeated,  has  often  been  found 
to  restore  children. 

When  some  irritating  substance  in  the  stomach  or  intestines,  or  costive- 
ness  of  the  bowels,  is  the  probable  cause,  an  injection  of  warm  water,  or 
molasses  and  water,  should  be  given  as  soon  as  possible.  In  the  absence  of 
the  ])roper  homoeopathic  medicines,  relief  may  sometimes  be  obtained  by 
smelling  camphor.  The  chief  reliance,  however,  for  the  cure  of  the  disease, 
is  in  the  administration  of  one  or  more  of  the  following  medicines,  carefully 
selected  according  to  the  symptoms  and  cause,  as  nearly  as  possible.  The 
most  favorable  time  for  giving  the  medicine  is  jnst  as  the  fit  is  going  off, 
unless  it  continue  a  long  time,  or  the  fits  follow  each  other  in  quick  succession, 
in  which  case  the  medicine  must  be  given  immediately,  without  waiting  for  the 
fit  to  terminate.  If  the  first  dose  produces  no  change,  it  should  be  repeated 
in  ten  or  twelve  minutes;  but  if  improvement  follows  the  administration  of 
the  first  dose,  nothing  more  should  he  given  as  long  as  it  continues  ;  when  the 
symptoms  get  worse  again,  or  another  fit  comes  on,  the  same  medicine  must 
be  repeated.  If  the  remedy  first  given  does  not  ameliorate  or  remove  the 
disease,  after  waiting  half  an  hour,  another  must  be  selected. 

Chamonnlla  is  indicated,  if  there  is  convulsive  jerking  of  the 
limbs,  twitching  of  the  muscles  of  the  face  and  eyelids,  with 
constant  motion  of  the  head  from  side  to  side,  followed  by  drow- 
siness, with  the  eyes  half  closed,  and  loss  of  consciousness ;  red- 
ness of  one  check  and  paleness  of  the  other,  constant  moaning, 
and  craving  for  drink. 

Belladonna,  when  the  child  starts  suddenly  when  asleep,  oi 
stares  about  wildly;  the  pupils  are  much  dilated ;  stiffness  of 
one  or  more  of  the  limbs  or  of  the  whole  body;  dryness  and 
burning  heat  of  the  forehead  and  palms  of  the  hands;  involun 
ta,ry  discharge  of  urine  after  the  return  of  consciousness;  the 
slightest  touch  sometimes  provokes  a  new  fit.  Tlie  fits  are 
sometimes  preceded  by  smiles  and  laughter. 

Ignatia  is  the  chief  remedy  in  the  convulsions  of  children, 
especially  when  the  cause  is  unknown,  and  the  following  symp- 
toms are  presented;  sudden  and  violent' starting  from  a  light 
sleep  with  loud  screaming,  and  trembling  of  the  whole  body; 
when  the  muscles  of  single  limbs  are  convulsed  or  there  is  an 
occasional  spasm  of  a  single  muscle  here  and  there  in  difi'erent 
parts  of  the  b(jdy;  when  the  fits  return  every  day  at  the  same 
hour,  or  every  other  day  about  the  same  time,  and  are  followed 
by  fever  and  perspiration. 


CHAP.  Xir.  TREATMENT   OF   INFANTS.  307 

Coffea  is  frequently  serviceable  in  weak  and  nervous  children 
who  are  subject  to  convulsions  without  any  apparent  cause,  other 
than  weakness. 

Ipecacuanha,  in  asthmatic  children,  when  the  fits  are  accom- 
panied by  nausea,  retching  and  vomiting  or  diarrhoea,  and  the 
attack  is  preceded,  attended,  or  followed  by  stretching  of  the 
limbs. 

Gina  is  useful  in  delicate  children  who  are  troubled  with 
worms  or  in  the  habit  of  wetting  the  bed  ;  spasms  of  the  chest 
followed  by  rigidity  of  the  limbs,  or  of  the  whole  body;  and 
itching  at  the  nose  and  anus. 

Mercurms,  against  spasms  caused  by  worms,  with  distension 
and  hardness  of  the  abdomen  ;  tossing  and  stiffness  of  the  limbs ; 
eructations,  salivation,  fever  and  moist  skin,  and  great  weakness 
after  the  paroxysms.  This  remedy  may  precede  or  follow  Cina 
advantageously. 

Opium  is  particularly  suitable  in  convulsions  caused  by  fright, 
and  attended  by  much  trembling  over  the  whole  body,  tossing 
of  the  limbs,  and  loud  screaming  during  the  fits;  also  when  the 
child  lies  unconscious  as  if  stunned,  or  breathes  heavily  and  with 
difficulty ;  distension  of  the  abdomen  and  suppression  of  the 
evacuations. 

Hyoscyamus,  in  convulsions  caused  by  sudden  fright;  with 
twitching  of  the  muscles  of  the  face  and  foaming  at  the  mouth. 

Rheum,  if  accompanied  by  twitching  and  jerking  on  the  thighs 
and  groins. 

Stramonium,  in  sudden  convulsions  from  fright,  or  when 
occurring  in  fevers  or  from  repelled  eruptions,  with  tossing  of 
the  limbs  and  involuntary  evacuations  of  faeces  and  urine. 

Sulphur  is  especially  serviceable  in  convulsions  arising  from 
repelled  chronic  eruptions. 

Teething.    Dentition. 

The  period  of  dentition  in  children  is  generally  attended  with  more  or  lesa 
derangement  of  health ;  greater  restlessness  than  usual,  especially  at  night ; 
flushes  of  heat  and  alternate  paleness  of  the  face  ;  the  gums  become  swollen 
and  hot;  difficulty  in  sucking;  the  child  frequently  takes  hold  of  the  uijiple, 


808  TREATMENT   OF   DISEASES. 

bites  and  lets  go  again ;  disposition  to  bite  at  everything ;  constant  dribbling 
from  the  mouth,  and  looseness  of  the  bowels.  The  two  latter  symptoms  may 
be  looked  upon  as  salutary,  by  preventing  congestion  of  the  brain  or  lungs  to 
which  all  children  are  more  or  less  disposed  at  this  time. 

The  first  set  of  teeth  are  twenty  in  number,  and  generally  make  their  ap- 
pearance in  the  following  order:  the  two  middle  lower  teeth  first,  and  when 
the  child  is  about  six  months  old  ;  nest  the  two  middle  incisors  of  the  upper 
jaw  in  three  or  four  weeks  after  the  first ;  soon  after  these  the  two  lower 
lateral  incisors  below,  which  are  followed  speedily  by  the  two  lateral  incisors 
above.  In  about  two  months  after  these  the  first  four  jaw  teeth  appear,  two 
below  and  two  above ;  shortly  after  these  the  stomach  and  eye  teeth  are  cut ; 
and  finally,  at  the  age  of  two  or  two  and  a  half  years,  the  four  back  jaw  teeth, 
two  above  and  two  below,  completing  the  set. 

There  is,  however,  considerable  variation  from  the  above  regular  order  and 
time  of  teething ;  some  children  get  their  first  teeth  two  or  three  weeks  after 
birth  or  indeed  are  born  with  them,  while  others  again  do  not  get  any  teeth 
until  they  are  nearly  a  year  old.  In  healthy  children  when  due  attention  has 
been  paid  to  exercise,  diet,  &c.,  the  period  of  dentition  will  generally  be  passed 
with  comparatively  little  suffering. 

The  mother  or  nurse  during  the  whole  period  of  dentition  should  pay  par- 
ticular attention  to  her  way  of  living,  and  avoid  everything  indigestible  or 
stimulating  in  its  nature.  She  should  especially  abstain  from  the  use  of 
spirituous  and  malt  liquors,  which  from  their  irritating  properties  are  par- 
ticularly injurious,  and  are  one  of  the  most  frequent  causes  of  the  sufferings 
of  children  at  this  period. 

Lancing  the  gums,  though  seldom  necessary,  may  be  resorted  to  in  weak, 
sickly  children.  The  best  instrument  for  this  purpo-e  is  a  gum  lancet,  the 
blade  of  which  should  be  placed  over  the  tooth,  and  an  incision  made  through 
the  gum  to  the  tooth.  In  the  absence  of  a  proper  lancet  a  pen-knife  will 
answer  the  same  end.  It  ought,  however,  never  be  done  until  you  can  see  or 
feel  the  tooth  through  the  gum,  if  dune  sooner  the  cut  will  heal  and  form  a 
scar,  and  the  tooth  will  have  still  more  difficulty  to  break  through. 

Aconitum,  when  there  is  fever  with  much  restlessness,  sleep- 
lessness and  pain,  as  evinced  by  the  child's  crying  and  starting. 

Belladonna,  in  convulsions  caused  by  teething ;  the  convulsion 
is  followed  by  sound  sleep,  which  continues  for  a  long  time,  or 
until  another  fit  comes  on.  The  child  starts  suddenly  from  its 
sleep  as  if  frightened,  and  looks  around  as  if  terrified,  with  an 
altered  expression  of  countenance  ;  the  pupils  of  the  eyes  are 
enlarged,  and  the  child  stares  at  a  particular  spot ;  the  whole 
body  becomes  stiff;  with  burning  heat  in  the  palms  of  the  hands 
and  in  the  temples. 

Calcarea  carbonica,  when  the  teething  is  too  slow  in  children 
of  light  complexion,  and  who  are  inclined  to  be  fat.  Give  the 
medicine  once  a  week  for  three  or  four  weeks ;  it  is  also  par- 
ticularly useful  if  too  many  teeth  come  at  once. 


CHAP.  XII.  TREATMENT   OF   INFANTS.  809 

ChamomiUa  is  particularly  adapted  to  the  various  diseases  of 
children  during  the  period  of  dentition,  and  especially  when  a 
child  is  very  uneasy  at  night ;  tosses  about ;  wants  to  drink 
often ;  has  spasmodic  jerks  and  twitches  of  the  limbs  during 
sleep ;  starts  at  the  slightest  noise  ;  general  heat ;  redness  of  one 
cheek  and  of  the  eyes  ;  moaning  ;  groaning  ;  agitation  ;  short, 
quick,  noisy  respiration  and  oppression  of  the  chest ;  hacking 
cough  ;  mouth  dry  and  hot ;  diarrhoea,  with  watery,  slimy  and 
greenish  evacuations,  worse  at  night. 

Gina  may  be  given  to  children  who  wet  the  bed  at  night,  and 
grind  their  teeth  during  sleep  and  at  other  times ;  have  hard- 
ness and  distension  of  the  abdomen  ;  rub  the  nose,  and  have  a 
dry  cough,  resembling  hooping  cough. 

Coffea^  when  the  child  is  very  excitable  ;  does  not  sleep ;  is 
sometimes  fretful  and  at  other  times  too  lively,  with  some  fever. 

Ignatia,  when  there  are  convulsive  jerkings  of  single  limbs; 
frequent  flushes  of  h'^at,  sometimes  followed  by  perspiration  ;  the 
child  rouses  from  a  light  sleep  with  piercing  cries  and  trembles 
all  over. 

Ipecacuanha  is  very  useful  in  nausea  and  vomiting  with 
diarrhoea;  the  stools  are  mixed,  of  different  colors. 

Mercurius  is  applicable  in  cases  of  copious  dribbling  from  the 
mouth,  redness  of  the  gums,  and  green  evacuations  from  the 
bowels,  with  straining. 

Sulphur  may  be  given  when  the  stools  are  whitish  or  hot  and 
sour  ;  and  excoriate  the  parts. 

Summer  Complaint.    Cholera  Infantum. 

This  disease,  so  common,  and  so  often  fatal  under  old  school  treatment,  is 
most  prevalent  during  the  summer  and  autumn,  and  usually  commences  with 
sickness  and  vomiting  followed  by  diarrhoea.  The  matters  ejected  consist  at 
first  of  food  and  afterwards  of  mucus;  or  there  may  be  mere  retching  and 
fruitless  efforts  to  vomit.  The  evacuations  from  the  bowels  are  very  frequent 
and  may  assume  various  appearances,  sometimes  they  are  greenish,  thin  and 
watery.'or  yellowish,  at  others  whitish  or  slimy  and  mixed  with  blood.  Often 
the  food  is  passed  undigested,  and  the  odor  is  occasionally  very  offensive. 

If  the  disease  continues  for  any  length  of  time  the  child  loses  its  appetite, 
the  flesh  becomes  soft,  and  the  emaciation  frequently  so  great  that  the  skin 
hangs  in  folds  about  the  person,  fever  with  evening  aggravation  sets  in,  the 
eyes  are  sunken  and  but  half  closed  during  sleep.     The  thirst  for  cold  water 


810  TREATMENT   OF   DISEASES. 

is  nsually  very  great,  and  drinks  of  all  kinds  are  immediately  rejected  by  the 
Blomach.  The  head  and  abdomen  are  hot  and  the  latter  generally  distended, 
while  the  feet  and  hands  are  cold. 

The  most  common  exciting  causes  are,  improper  diet  either  on  the  part  of 
the  mother  or  child,  great  changes  of  temperature,  improper  clothing,  want 
of  fresh  air,  and  teething.  ^I'he  latter  is  probably  the  most  frequent  cause, 
as  children  are  more  liable  to  this  disease  during  their  second  summer. 

At  the  season  in  which  children  are  most  subject  to  cholera  infantum  strict 
attention  should  be  given  to  diet,  exercise  and  clothing,  both  by  mother  and 
child.  In  regard  to  the  diet,  everything  stimulating,  such  as  vinous  and  fer- 
mented  drinks,  acids,  all  highly  seasoned  food,  and  most  vegetables  should  be 
dispensed  with.  And  in  general  the  homoeopathic  regimen  as  recommended  in 
the  beginning  of  this  work,  should  be  closely  adhered  to.  The  clothing  should 
be  adapted  to  the  season  and  changed  to  suit  the  changes  of  temperature, 
care  being  taken  not  to  clothe  the  child  too  warmly.  The  rooms  should  be 
kept  cool  and  well  aired,  and  the  children  frequently  taken  out  into  the  open 
air. 

Children  living  in  large  cities  will  be  much  benefitted  by  a  ride  out  into 
the  country,  or  on  the  water  by  steamboat. 

Cool  fresh  air  and  daily  bathing  in  cold  water  cannot  be  too  much  recom- 
mended. 

Children  suffering  from  this  complaint,  have  often  a  great  appetite  for 
smoked  beef,  ham  ol"  fish,  even  infants  will  often  stretch  out  their  hands  for 
it  and  chew  and  suck  it  with  great  delight  and  benefit. 

Some  very  bad  cases  have  been  cured  by  the  following  injections,  boil  stale 
bread  in  water  for  an  hour,  strain  and  boil  the  fluid  till  it  becomes  thick  and 
forms  a  jelly  on  cooling,  of  this  give  half  a  cupful  every  two  to  six  hours  as 
an  injection.  Melted,  fresh,  unsalted  butter  given  by  the  teaspoonful  has 
sometimes  been  useful. 

Antimonium  crudum,  when  the  tongue  is  coated  white  or 
yellow  ;  dryness  of  the  mouth,  with  thirst ;  nausea  with  vomit- 
ing, or  retching  and  cough ;  distension  of  the  abdomen  with 
flatulency  ;  offensive,  slimy  stools  ;  and  frequent  passages  of 
water. 

Arsenicum^  if  the  child  is  very  weak,  pale  and  emaciated ;  in- 
flation of  the  abdomen ;  cold  extremities ;  loss  of  appetite ; 
nausea  and  vomiting ;  intense  thirst ;  yellow  and  watery,  white 
or  brownish  offensive  diarrhoea,  which  is  worse  after  midnight, 
towards  morning,  and  after  eating  or  drinking. 

Bryonia^  when  the  diarrhoea  comes  on  in  hot  weather,  and  is 
accompanied  by  much  thir.st;  vomiting  of  food;  nausea  and 
vomiting  after  eating ;  diarrhoea  with  colic ;  the  stools  have  a 
putrid  smell,  are  white  or  brownish  and  lumpy. 

Carho  vegetahilis  ;  if  Bryonia  affords  but  temporary  relief  give 


CHAP  XII.  TREATMENT   OF   INFANTS.  311 

Carho  vegetabilis,  especially  if  the  evacuations  are  very  thin  and 
offensive  ;  and  are  attended  with  burning  and  much  pain. 

Duhamam,  if  the  complaint  returns  every  time  the  weather 
gets  cool,  or  takes  place  after  drinking  cold  water  while  in  a 
heat;  violent  thirst  for  cold  water;  diarrhoea  of  a  greenish  or 
browish  mucus,  worse  at  night. 

Ipecacuanha,  if  given  in  the  commencement  of  the  disease  will 
generally  arrest  its  progress  at  once.  The  symptoms  which 
indicate  this  remedy  are  chiefly  nausea  and  vomiting  of  food 
and  drink,  or  of  mucus  and  bile,  attended  with  diarrhoea  of 
fermented  stools  with  white  flocks  or  tinged  with  blood;  coated 
tongue  :  dislike  to  all  food  ;  and  raging  thirst. 

Mercurius,  when  the  diarrhoea  is  worse  before  midnight  and 
is  attended  with  colic,  straining  at  stool,  and  perspiration;  evac- 
uations scanty,  gi'eenish,  sour,  and  attended  with  nausea  and 
eructations;  if  the  children  have  a  great  desire  for  butter. 

Calcarea  if  they  have  a  great  desire  f(jr  eggs. 

China  when  the  diarrlioea  occurs  after  every  meal,  the  stools 
are  very  fetid  and  contain  undigested  portions  of  the  food,  and 
there  is  much  wind  in  the  bowels. 

Nux  vomica:  if  Ipecacuanha  should  not  be  efficacious  in  arrest- 
ing the  disease  at  the  outset  give  one  dose  of  Nux  vomica  at 
night  and  another  next  morning. 

Nux  moschaia  ;  see.  "  Diarrhoea." 

Verat7-um,  when  the  weakness  from  the  nausea  and  vomiting 
is  so  great  as  almost  to  cause  fainting ;  great  exhaustion, 
vomiting,  and  diarrhoea  ;  vomiting  after  swallowing  the  least 
liquid ;  the  slightest  movement  excites  vomiting;  thirst  for  cold 
water;  sensitiveness  over  the  pit  of  the  stomach;  colic,  with 
burning  and  cutting  pains  in  the  abdomen ;  loose,  brownish,  and 
blackish  stools;  and  small  unnoticed  evacuations  of  liquid  faeces. 

Sulphur  will  be  valuable  in  protracted  cases,  especially  when 
the  evacuations  from  the  bowels  are  frequent  and  greenish,  thin 
and  watery,  or  whitish  and  slimy. 


812  TREATMENT   OF   DISEASES. 


Running  from  the  iilars. 

Abscesses  are  frequently  formed  in  the  ears  of  young  children. 

They  are  generally  preceded  by  violent  pains,  giving  rise  to  screaming, 
rolling  and  tossing  of  the  head,  sudden  starting'out  of  sleep  and  more  or  less 
fever.  As  soon  as  the  abscess  breaks  and  matter  is  discharged  the  pain 
ceases.  The  running  is  often  profuse  and  dilBcult  to  cure.  The  matter  is 
generally  white,  but  occasionally  it  becomes  greenish  or  dark-colored  and 
extremely  offensive. 

B"U<idonna,  Mercurius,  Chamomilla,  and  Pulsatilla,  are  the  best  remedies 
for  the  pain. 

Mercurius,  Pulxnfilla,  Calcarea  carhonica,  Rhus  and  Sulphur,  for  the  dis- 
charge. The  ear  should  be  frequently  washed.     See  "  Affections  of  the  Ears." 

Rupture  of  the  Navel,    Umbilical  Hernia. 

This  affection  is  quite  common  in  young  children,  and  may  be  known  by  the 
unnatural  protrusion  of  the  navel.  It  is  not  often  painful  unless  it  becomes 
large  ;  when  discovered  to  exist,  a  piece  of  pasteboard,  cork,  sheet-lead,  or 
other  hard  substance  should  be  covered  with  linen,  placed  over  the  navel,  and 
secured  there  by  a  broad  bandage.  This,  by  being  constantly  worn,  will  gene- 
rally remove  it. 

The  best  way  is  to  use  a  concave  but- 
o  ton  as  shown  in  the  cut ;   it  is  a  trans- 

verse section  of  the  button,  showing  its 
form  and  the  size  it  should  bear  to  the 
navel ;  a.  b.  c.  is  the  navel,  d.  f.  the 
button.  The  button  must  be  covered 
with  soft  linen,  and  the  upper  or  convex 
side  sewed  to  the  bandage.  The  hoUuu> 
**  ^  part  should  be  put  upon  the  navel,  not 

the  convex  part.     For  a  rupture  in  the  groin  no  bandage  should  be  used,  but 
you  may  give  Nux  vomica,  afterwards  Veratruni  or  sometimes  Chamomilla. 

The  cure  will  be  much  facilitated  by  the  occasional  administration  of  a  dose 
of  Nux  vomica. 

Heat  Spots.    "Prickly  Heat." 

Infants  and  young  children  are  frequently  troubled  with  an  eruption  con- 
sisting of  small  vesiclop,  generally  about  the  size  of  a  pin's  head;  they  are 
red  and  inflamed  at  the  base,  and  filled  with  watery  fluid.  After  breaking 
they  sometimes  form  into  thin  scabs  and  occasionally  are  disposed  to  ulcerate. 
There  is  usually  more  or  less  fever  accompanying  the  eruption,  which  is 
often  very  annoying  to  children  on  account  of  the  itching  and  burning  with 
which  it  is  attended. 

The  heat  of  summer  is  the  time  at  which  this  eruption  is  most  prevalent; 
its  development  is  also  favored  by  warm  rooms  and  an  excess  of  clothing. 
The  disorder  will  generally  be  removed  by  frequent  bathing,  and  proper  atten- 
tion to  ventilation  and  dress. 

When  attended  by  much  fever  and  restlessness,  a  few  doses  of  Acnniiinn  oi 
Chamoniillu  will  afford  relief.  Rhus  may  be  given,  if  the  eruption  is  exten- 
sive, and  Arsenicum  or  StiIpJnir,  if  Rhus  should  be  insufficient.  Sulphur 
given  at  long  intervals,  will  correct  the  tendency  to  this  complaint. 


CHAP.  XII.  TREATMENT   OF   INFANTS.  313 


WMtes  or  Leucorrhoea  of  Children. 

Little  girls  are  sometimes  subject  to  a  discharge  of  whitish  mucus  from 
the  vagina,  resembling  the  leucorrhoea  of  adults.  It  may  be  the  result 
of  inattention  to  cleanliness,  or  proceed  from  some  constitutional  or  other 
cause. 

Frequent  bathing  with  luke-warm  water  will  generally  cause  its  remuval  in 
a  short  time ;  or,  if  this  should  fail,  the  internal  administration  of  Calcarea 
carb.,  once  a  day  for  a  few  days,  followed  if  necessary  by  Pulsatilla,  will  effect 
a  cure. 

Weaning. 

Generally  the  most  suitable  age  to  wean  children  is  when  they  are  about 
ten  months  old  ;  by  the  time  they  arrive  at  this  age,  the  teeth  are  usually 
sufBciently  developed  to  chew  more  solid  food,  and  the  mother  may  be  dis- 
pensed with. 

If  the  mother  is  delicate,  the  supply  of  milk  begins  to  diminish  in  quantity 
and  deteriorates  in  quality,  or  the  menstrual  discharge  reappears,  the  child 
may  be  weaned  at  an  earlier  period. 

On  the  other  hand,  the  child  should  not  be  weaned  while  it  is  suffering  much 
from  the  irritation  of  teething,  or  any  other  infantile  disease,  unless  the  health 
of  the  mother  renders  it  absolutely  necessary. 

As  the  teeth  begin  to  appear  the  child  should  gradually  be  accustomed  to 
other  food  than  the  mother's  milk,  so  that,  when  the  period  for  weaning  ar- 
rives, its  digestive  organs  will  be  fully  prepared  for  the  change  of  diet. 

The  most  suitable  seasons  of  the  year  for  weaning  are  the  spring  and 
autumn. 

After  weaning,  the  child's  diet  should  consist  of  simple  but  nourishing  food, 
such  as  bread  and  milk,  arrow  root,  farina,  boiled  rusks,  &c.,  and  the  transition 
to  a  more  substantial  fare  should  be  extremely  gradual.      (See  also  page  27.) 

'I'he  mother,  also,  after  the  child  is  taken  from  the  breast,  should  be  par- 
ticularly careful  in  her  diet,  and  until  the  secretion  of  milk  has  ceased,  live 
as  low  as  possible.  If  the  breasts  become  much  distended  and  painful,  they 
should  be  bathed  with  hot  lard,  and  wrapped  in  raw  cotton.  It  will  also  be 
necessary  to  have  them  drawn  occasionally.  At  the  same  time  the  internal 
administration  of  Pulsatilla  and  Rhus  will  aid  materially  in  stopping  the 
secretion.     They  may  be  taken  alternately  twice  a  day. 

Limping.    Lameness. 

Children  are  often  seen,  who  limp  or  are  lame  because  one  of  tlu'  legs  is 
shorter  than  the  other.  There  is  a  swelling  around  the  hip  joint  ot  the 
shorter  leg,  and  afterwards  ulcers.  This  is  a  disease  which  is  difficult  to 
cure;  and  if  of  long  standing,  there  will  be  alterations  in  the  joint,  which  can- 
not be  removed.  Parents  ought  therefore  to  be  careful  to  notice  this  disease 
in  the  beginning,  and  have  it  attended  toby  a  homoeopathic  phy.-;ician.  If  a 
physician  cannot  be  had,  give  Arnica  in  case  of  an  external  injury,  Mam- 
ri'i.s  if  it  comes  on  without  any  apparent  cause,  without  pain,  and  if  the  child 
draws  the  leg  up;  if  no  better  in  two  or  three  days,  give  Hellailoum ;  after- 
wards Marcurius  again.  If  no  improvement  takes  place,  give  Rhun,  after- 
wards iSulphur,  Calcarea  or  Colocyutlds. 

28 


314  TREATMENT   OF   DISEASES. 


Stuttering. 

The  best  time  to  cure  stuttering  is  in  the  very  beginning.  Let  the  child, 
Bt'veral  times  every  clay  for  a  short  while,  breathe  slowly  and  clap  its  hands 
during  each  slow  expiration  ;  afterwards  let  the  child  pronounce  a  few  words 
during  expiration,  but  not  during  inspiration.  Sometimes  it  is  cured  by  a 
few  doses  of  Belladanna,  atnd  afterwards  Mercurius  ;  or  Platinum,  Euphrasia, 
or  later,  Sulphur. 

Squinting. 

See  "  Diseases  of  the  Eyes." 

Wetting  the  Bed. 

Physicians  of  the  old  school,  because  they  cannot  cure  this  complaint,  have 
spread  the  notion  that  it  is  nothing  but  a  bad  habit,  and  that  therefore  the 
proper  way  of  curing  this  bad  habit  is  punishing,  or  even  whipping,  the  chil- 
dren. This  is  the  way  to  bring  up  dogs,  not  children.  Wetting  the  bed  is 
caused  in  almost  all  cases  by  disease,  which  can  be  removed  by  the  reme- 
dies stated  below. 

In  the  first  place,  the  children  must  not  use  any  victuals  which  cause  an 
increase  of  urine,  as  asparairus,  celery,  cucumbers,  watermelons,  etc.  ;  all 
sharp,  salty,  and  sour  things,  malt  liquors ;  also  tea,  coffee,  and  chocolate  ; 
in  the  morning  they  may  take  water  and  milk,  or  cocoa,  but  none  of  these 
articles  at  night ;  they  may  drink  as  much  water  as  they  like,  it  will  diminish 
the  sharpness  in  the  urine.  To  eat  much  butter  at  night  is  often  beneficial. 
Do  not  let  the  children  go  to  bed  immediately  after  supper  ;  take  them  up 
about  one  or  two  hours  afterwards,  carry  them  where  they  are  in  the  habit 
of  urinating,  and  they  will  soon  do  so  voluntarily.  Older  children  are  much 
benefited  by  gymnastic  exercises,  which  make  the  will  stronger,  and  teach 
them  to  pay  prompt  attention.  It  is  often  sufBcient  to  get  the  children  accus- 
tomed to  hold  their  water  longer,  but  this  must  be  done  carefully,  for  holding 
the  urine  too  long  is  dangerous.  It  is  best  done  while  taking  a  walk,  par- 
ticularly in  cold  weather.  Give  older  boys  a  glass  to  measure  their  urine  in 
in  the  morning,  teach  them  to  overcome  the  first  desire  to  urinate,  and  to  wait 
till  it  returns  with  pain  ;  let  them  take  notice  of  time  and  ciuantity. 

Tlie  children  are  often  found  lying  on  their  back,  and  this  has  been  stated 
to  be  the  cause  of  the  complaint,  and  it  has  been  foolishly  proposed  to 
fasten  something  on  their  back.  No  healthy  person  sleeps  on  his  back,  un- 
less he  is  very  much  fatigued,  and  then  only  for  a  while.  All  healthy  children 
sleep  lying  on  the  side. 

If,  therefore,  the  children  sleep  upon  the  back,  they  will  be  benefited  by 
Pul.wlilln,  lilais,  Ferrum,  Sulphur,  Calcarea ;  or  sometimes  Bryonia,  China, 
Nux  vomica,  or  L/nalia.  If  they  do  not  sleep  on  the  back,  Belladonna,  Mer- 
curius, SHicia,  Cina  or  Causticum. 

Pulsatilla.  Tender,  gentle  children,  inclined  to  weep,  wbo 
easily  turn  pale  or  rod  ;  particularly  if  they  have  dark  hair  and 
eyes,  and  if  fat  food  does  not  agree  with  them  ;  if  the  urine  is 
o*feusive ;  if  little  girls  have  the  whites,  staining  the  linen  ;  if 


CHAP.  XII.  TREATMENT   OF   INFANTS.  3l5 

tliey  put  the  hands  upon  the  abdomen,  or  both  arms  above  the 
head.— If  they  sleep  lying  upon  the  belly,  compare  Calcarea, 
Colocynthis  and  Belladonna.  In  similar  cases,  or  children  wlio 
become  easily  angry  or  obstinate,  and  particularly  if  they  put 
the  arms  above  or  under  the  head,  give  Nux  vomica.  Rhus,  in 
similar  cases,  if  the  children  have  light  hair  and  blue  eyes ;  if 
the  urine  is  acrid,  and  passes  too  quick  even  during  the  day,  or 
runs  out  drop  by  drop.  (Compare  Belladonna.)  Especially  if 
gymnastic  exercises  do  not  agree  with  them,  but  they  become 
worse  or  take  cold.  If  Rhus  should  not  be  sufficient,  give 
Bryonia,  particularly  if  the  children  are  very  peevish. 

Ferrum  for  pale,  thin,  chilly  children,  whose  hands  and  feet 
become  easily  cold ;  who  are  sleepy  the  whole  day,  or  at  least 
early  at  night,  dream  much,  and  do  not  like  to  get  up  in  the 
morning;  who  have  a  constant  catarrh  in  the  head  or  running 
of  the  nose ;  weak  eyes,  which  in  the  open  air  are  always  full  of 
tears ;  who  have,  every  time  they  take  cold,  either  diarrhoea  or 
cough.  If  Ferrum  is  not  sufficient,  and  if  the  child  turns  easily 
red  in  the  face,  puts  the  arms  over  the  head  and  is  restless  at 
n^'^^ijht,  give  China. 

Sulphur  for  pale  and,  more  particularly,  thin  children  with 
\u  ge  bellies,  and  who  are  constantly  unwell,  who  do  not  like  to 
hf.  washed,  are  afraid  of  being  bathed  or  cry  when  bathed ;  who 
aie  fond  of  sharp  victuals  or  cannot  get  enough  sugar.  Sulphur 
is  the  chief  remedy,  if  you  cannot  come  to  a  determination  as  to 
the  proper  remedy.  It  is  best  given  in  water,  at  first  every  day, 
and  afterwards  as  often  as  the  complaint  returns. 

Calcarea,  for  stout,  fat,  puffed-up  children  with  red  faces,  who 
drink  much  and  perspire  easily  ;  especially  if  they  scratch  their 
heads  when  awaking  at  night;  if  in  the  night  they  pass  water 
more  than  once ;  also  if  they  have  during  the  day  a  yerj  fre- 
quent desire  to  urinate,  passing  but  little  at  a  time.  It  is 
suitable  for  children  with  a  large  belly,  if  Sulphur  is  not  suffi- 
cient; also  if  they  sleep  lying  on  the  belly  or  put  the  arms  over 
the  head. 

Belladonna  if  the  children  do  not  sleep  on  the  back,  or  do  so 


316  TREATMENT   OF   DISEASES. 

l)ut  seldom  ;  for  self-willed,  lively  children,  who  cry  easily,  who 
sleep  with  the  arms  over  the  head  or  with  the  head  bent  back- 
wards, or  lie  upon  the  belly ;  particularly  if  the  urine  passes 
involuntarily  also  during  the  day,  especially  when  standing ;  or 
if  the  water  passes  often  and  in  great  quantities,  and  is  pale  and 
watery ;  if  they  easily  perspire,  and  take  cold  easily. 

Mercurius  for  similar,  also  easily -perspiring  children,  who  some- 
times become  suddenly  weak,  who  have  great  desire  for  butter; 
or  if  the  urine  is  hot  and  sharp,  and  smells  sour. 

Silicea  for  children  with  light  hair  and  blue  eyes,  particularly 
if  they  have  often  a  swelled  neck  or  boils,  or  if  the  points  of  the 
fingers  around  the  nails  ulcerate;  if  in  general  nothing  heals 
easily  what  has  been  wounded  ;  if  the  complaint  did  come  on 
after  vaccination. 

Gina  if  they  bend  the  head  backwards  when  asleep,  if  during 
sleep  they  look  up  dreaming  and  are  afraid ;  and  if  the  nose 
itches. 

Causticum  is  a  ])rincipal  remedy,  for  grown  persons  too,  par- 
ticularly  for  children  with  black  hair  and  eyes,  if  they  wet  the 
bed  in  the  first  sleep;  if  the  urine  is  acrid ;  if  they  pass  water 
frequently  by  day  and  by  night ;  also  if  the  urine  passes  while 
coughing,  sneezing,  walking,  &c.  For  children  who  can  evacu- 
ate the  bladder  and  stool  only  when  standing,  but  not  when 
sitting. 

Arsenicum  is  sometimes  suitable  when  the  urine  is  hot  and  of 
a  putrid  smell ;  if  the  children  put  the  arms  over  the  head  and 
lie  upon  the  back. 

Hcpar  if  the  urine  is  hot  and  acrid,  and  the  head  is  bent  back- 
wards during  sleep. 

Carlo  vegetabilis,  if  the  urine  is  offensive. 

Dulcamara,  urine  offensive,  and  if  wetting  the  bed  has  re- 
mained after  some  painful  disease  of  the  bladder. 

Colocynthis ;  urine  sticky,  the  children  put  the  arms  under  or 
above  the  head,  and  turn  over  upon  the  belly. 

K  these  medicines  should  not  be  sufiicient,  consult  a  homoeo- 


CHAP.  XII.         TREATMENT  OF  INFANTS.  31  J 

pathic  physician.     There  are  sometimes  other  complaints  whicb 
have  to  be  taken  into  consideration,  and  other  remedies. 

Vaccination. 

Tn  the  former  editions  of  this  work  I  avoided  speaking  of 
vaccination.  Hahnemann  and  many  of  his  followers  adduce 
vaccination  as  a  proof  of  the  homoeopathic  law  of  cure.  A 
similar  disease  taken  from  the  udder  of  the  cow  prevents  the 
similar  small-pox  in  men.  I  had  different  views  about  the  simi- 
larity of  the  symptoms,  and  believed  that  it  always  was  an  action 
in  the  opposite  direction  of  the  medicines  (Gegenioirkende  in  der 
Arznei)  that  effected  a  cure,  but  that  the  similarity  of  the  symp- 
toms pointed  out  the  best  and  surest  antidote  (to  the  disease, 
Gegenmittel.)  Just  as  one  motion  can  only  be  arrested  or 
annulled  by  another  exactly  similar  one,  but  in  the  opposite 
direction,  as  we  see  in  the  motion  of  waves,  sound,  light;  just 
so,  I  thought,  it  must  be  with  the  motions  of  life  (Lebensbeweg- 
ungen).  But  vaccination  was  always  a  poisoning,  even  if  it 
terminated  favorably.  When  I  therefore  raised  my  voice  against 
vaccination  in  a  letter  to  Dr.  Staph,  June  18th,  1830,  printed  in 
his  "  Ardriv,"  vol.  10,  part  2,  p.  28,  I  did  not  do  this  until  I 
was  able  to  propose  a  plan  to  find  a  really  sure  antidote  to  small- 
pox. Which  proposal,  however  unheard-of  and  strange  it  might 
have  seemed  to  be,  was  nevertheless  based  upon  so  correct  rea- 
soning, that  later  experience  has  always  confirmed  it.  But  still, 
some  cases  were  not  cured  by  this  remedy. 

During  the  last  twenty  years  the  following  three  facts  have 
been  clearly  established  : 

1.  Vaccination  protects  less  and  less  every  year,  for  although 
Bm all-pox  is  called  by  another  name,  it  is  still  the  same. 

2.  Vaccination  is  followed  by  complaints,  which  are  either 
sudden  and  dangerous,  or  long-lasting  and  difficult  to  cure,  and 
"which  become  from  year  to  year  more  frequent. 

3.  We  learn  from  year  to  year  a  more  certain  and  better  way 
of  curing  small  pox  patients  homoeopathically. 

As  long  as  it  must  be  admitted,  notwithstanding  fact  1,  thai 

28* 


818  TREATMENT   OF   DISEASES. 

vaccination,  if  done  in  the  right  way,  protects  in  a  great  many 
cases  and  lessens  the  mortality  in  a  great  measure;  as  lono-  or 
in  spite  of  fact  2,  a  great  many  children  do  not  get  seriously  ill 
after  vaccination,  and  as  lf>ng  as,  notwithstanding  fact  3,  some 
children  may  yet  die  of  small-pox — so  long  is  a  certain  decision 
impossible,  either  in  favor  or  auainst  vaccination.  Until,  there- 
fore, the  hom.oeopathic  treatment  of  small-pox  shall  have  been 
perfected  to  such  a  degree  that  all  cases  can  be  cured  with  per- 
fect certainty,  vaccination  is  to  be  allowed,  choosing  the  less  of 
two  evils  and  preferring  the  more  certain  reraed}'- ;  but  it  must 
be  done  under  certain  strict  conditions,  and  so  as  to  cause  the 
least  danger  and  the  greatest  protection  to  the  children. 

Vaccinating  should  always  be  done  from  the  arm  of  a  healthy 
child,  whose  parents,  particularly  the  mother,  are  perfectly 
healthy.  As  was  at  first  invariably  the  case,  the  lymph  must 
be  taken  on  the  sixth,  seventh  or  eighth  day  after  vaccination, 
from  a  perfectly  developed  pustule,  as  long  as  the  lymph  is  vet 
clear  as  water,  not  turbid  or  purulent. 

Puncture  with  a  needle  or  lancet  the  pustule  on  the  side,  just 
between  the  sunken  point  and  the  areola,  the  red  border.  As 
the  interior  of  each  pustule  consists  of  several  small  cells,  a  little 
drop  only  comes  out.  This  little  drop  should  be  at  once  in- 
serted into  a  small,  oblique  cut  in  the  arm  of  the  children. 
Deep  cuts  are  senseless,  and  it  is  not  true  that  they  insure  a  better 
pj'otection.  The  number  of  cuts  are  of  no  essential  importance; 
one  protects  as  well  as  ten.  The  more  cuts  are  made,  the  more 
sick  will  the  child  become.  Therefore  the  younger  and  weaker 
a  child  is,  the  less  cuts  should  bo  made. 

The  best  time  for  vaccination  is,  if  the  children  are  otherwise 
healthy,  from  the  third  to  the  twelfth  month,  at  a  time  when 
they  are  not  cutting  teeth.  If  it  has  to  be  done  at  such  a  time, 
make  only  one  cut. 

In  cnses  of  necessity,  the  lymph  may  be  put  into  small  glass 
tubes,  and  so  preserved  and  transported;  but  in  many  cases  the 
lyrn]ih  thus  preserved  will  fail, 

Never  use  the  lymph  after  the  ninth  day,  when  it  has  become 


CHAP.  XII  TREATMEISTT   OF   INFANTS.  819 

thick,  turbid  or  purulent.  Still  less  should  the  dried-up  pus, 
the  scah^  be  used,  which  is  the  worst  and  must  dangerous  of  them 
all.  The  physician,  who  Mly  or  sixty  years  ago,  introduced 
Vaccination,  cautioned  against  such  vaccination  ;  all  vaccina- 
tions during  the  first  twenty  or  thirty  years  were  invariably 
made  with  clear  lymph. 

It  cannot  be  denied,  that  vaccination  with  the  scab  causes 
pustides,  but  it  is  not  the  less  true,  that  it  causes  many  diseases 
difficult  to  cure,  or  that  it  does  not  protect  well ;  the  pustules, 
after  vaccination  with  the  scab,  do  not  run  the  regular  course  ; 
it  is  sometimes  too  fast,  and  sometimes  too  slow.  Whether  dan- 
gerous consequences  after  vaccination  with  the  scab  shall  follow 
or  not,  is  quite  accidental ;  we  cannot  guard  against  them,  be- 
cause it  depends  altogether  on  the  circumstance  whether  the 
part  of  the  scab  used  was  putrified  or  not.  All  animal  sub- 
stances, which  are  in  the  least  putrified,  are  dangerous  when 
taken  internally,  but  much  more  so  when  introduced  into  the 
skin,  and  through  it  into  the  blood.  We  have  no  means  of 
knowing  whether  we  have  taken  putrified  matter  or  not ;  it 
makes  no  great  difference  which  part  of  the  scab  we  take,  the 
middle  may  as  well  contain  putrified  pus  as  any  other  part. 

As  the  compensation  of  the  physician  for  vaccinating  is  so 
poor,  in  some  cases  it  is  even  included  in  the  p^or  fee  for  treat- 
ment during  confinement,  the  bad  habit  of  vaccinating  with  the 
scab,  as  the  more  easy  and  convenient  way,  has  become  so 
common,  that  most  people  do  not  know  of  any  other  method. 
Nay,  there  is  spread  the  most  reprehensible  and  erroneous 
opinion,  that  the  puncturing  of  the  pustule  (to  obtain  the 
lymph,)  which,  of  course,  the  child  does  not  feel,  is  dangerous, 
and  lessens  the  protection  ;  a  most  senseless  and  base  notion,  as 
every  thiidcing  physician  admits.  Every  physician  knows  that 
in  the  beginning  vaccination  was  without  any  exception  done 
from  arm  to  arm,  and  that  in  many  countries  it  is  to  this  day 
against  the  law  to  do  it  in  any  other  way  ;  and  that  in  those 
times  and  countries  the  prt)tection  against  small-pox  was  and  is 
infinitely  greater  than  for  instance,  in  the  United  States.     'J'his 


320  TREATMENT   OF   DISEASES. 

would  be  im  [possible,  if  puncturing  the  pustule  bad  the  least  influ- 
ence upon  the  children.  Why  have  we  here  again  and  again  small- 
pox epidemics,  which  frighten  the  whole  population  of  the  largest 
cities  ?  Only  because  vaccinating  with  the  scab  gives  a  quite 
uncertain  protection.  And  why  is  it  here  so  generally  feared 
that  childien  will  get  sick  after  vaccination  ?  Because  every 
one  knows  that  many  children  get  ill  after  vaccination.  This  is 
only  the  case  when  children  are  inoculated  with  the  dried-up, 
half-putrified  matter,  and  not  with  the  lymph  from  arm  to  arm. 
Even  in  countries  where  they  scarcely  know  the  word  "civiliza- 
tion," nor  the  meaning  of  expressions  like  "great  prosperity, 
greatest  good  for  the  greatest  number,"  even  there  it  has  never 
happened  that  parents  made  the  slightest  objection  to  other 
children  being  vaccinated  from  the  arm  of  their  own,  success 
fully  vaccinated,  children.  This  new  species  of  disgusting  inhu- 
manity was  born  here,  as  one  of  the  many  evils  following 
vaccination  with  scabs. 

Everywhere,  among  people  of  sense,  it  is  considered  an  honor 
to  a  family  to  have  a  chiLl  which  is  selected  to  vaccinate  other 
children  from.  Now,  as  fi-om  ten  to  twelve  children  can  be  vacci- 
nated fiom  one  child  wiihout  doing  it  the  most  remotest  injury, 
and  as  there  will  be  among  them  at  least  one  healthy  child  to 
vaccinate  from  again, — there  can  never  be  any  more  want  of 
good  lymph,  if  not  caused  by  the  most  stupid  egotism. 

In  m;iny  large  cities  there  is  the  most  miserable  and  perverted 
regulation  of  paying  from  the  public  funds  to  young  physicians  a 
certain  sum  for  each  child  vaccinated,  without  requiring,  any 
proof,  whether,  how,  and  with  what  success  it  has  been  done. 
This  money  could  be  spent  for  a  much  better  purpose,  if  the  poor 
were  invited  to  take  their  children  to  a  certain  place,  to  be  vac- 
cinated, and  if  they  did,  to  return  after  six  or  eight  days  to  have 
the  children  examined;  and  if  a  certain  sum  of  money  were  paid 
to  the  parents  of  each  perfectly  healthy  child,  from  which  others 
could  be  vaccinated,  physicians  might  take  each  a  healthy  child 
to  others  which  they  have  to  vaccinate. 

Hahnemann  has  proposed  to  give  to  every  vaccinated  child  a 


CHAP,  XIII.  DISEASES   OF   THE   SKIN.  821 

dose  of  Sulphur  as  soon  as  tlie  pustule  is  formed,  and  if  an  erup- 
tion breaks  out  on  any  other  part  of  the  body  when  the  pustule 
is  drying  up,  another  dose. 

To  give  Aconitum  for  the  fever  after  vaccination  is  injurious, 
as  shown  in  many  cases. 

The  best  remedy,  confirmed  by  hundreds  of  cases,  against  bad 
consequences  of  vaccination,  is  Silicea.  It  is  serviceable  for 
eruptions,  swelled  glands  under  the  arm,  or  boils  on  the  head ; 
for  very  red,  inflamed  and  suppurating  swelling  of  the  arm,  ex- 
tending sometimes  to  the  shoulder-joint,  which  brings  the  child  in 
great  danger;  also  for  long-lasting  complaints:  hectic  fever,  with 
cough,  night-sweats,  tetters  in  different  places,  red  pimples  in 
the  face,  and  particularly  on  the  neck,  and  even  for  convulsions, 
which  follow  one  or  two  weeks  after  vaccination ;  also  for 
"  w^ter  in  the  head,"  which  has  come  on  rapidly  after  the  dry- 
ing of  the  pustule. 

In  all  these  cases  give  only  one  dose ;  it  is  seldom  necessary 
to  repeat  it,  one  globule  in  water,  every  day,  or  every  other  day. 


CHAPTER    XIII. 

DISEASES    OF    THE    SKIN. 

Rash. 

When  a  rash  is  accompanied  by  fever,  the  patient  must  be  careful  not  to 
take  cold,  but  at  the  same  time  he  should  not  keep  himself  too  warm;  either 
may  prove  injurious.  When  there  is  no  fever  attending  the  rash,  the  com- 
plaint is  not  of  a  serious  nature,  yet  cold  should  be  guarded  against ;  if  the 
patient  takes  cold,  notwithstanding,  resort  should  be  immediately  had  to 
medicine. 

All  cases  of  eruptions  attended  with  fever,  which  have  been  suppressed, 
require  the  same  remedies  which  are  prescribed  for  the  eruption  itself;  if  not 
clearly  characterized,  give  Ipecacuanha,  followed  by  Bnjonia  or  Cvpnim. 

When  a  rash  is  prevalent  in  the  neighborhood,  or  is  even  in  the  house,  and 
Bcveral  individuals  are  taken  ill  at  the  same  time  without  a  correspondmg 
eruption,  but  with  a  feeling  of  contraction  about  the  chest,  difficulty  of 
breathing,  frequent  giddiness,  trembling,  sickness  of  the  stomach,  vomiting, 

W 


322  TREATMENT   OF   DISEASES. 

griping,  diarrhcsa,  great  uneasiness,  fainting,  and  other  symptoms,  give 
Ipecaruanha  to  bring  out  the  eruption,  or  prevent  the  disease  altogether. 

Children,  and  sometimes  grown  persons,  are  troubled,  after  taking  cold, 
with  a  rash,  appearing  in  red,  smooth  spots  of  the  size  of  a  pin's  head,  which 
are  not  elevated,  but  visible  in  heat  and  in  cold,  with  itching  and  biting  at 
night,  disturbed  sleep,  or  fever  during  the  night;  children  become  very  untar-,y 
and  irritable,  and  cry  much ;  in  such  cases  give  Aconitinn,  and  if  no  improve- 
ment has  taken  place  by  the  next  day,  give  Cliamomilla,  and  a  couple  of  days 
later,  if  necessary,  Sulphur.  The  latter  remedies  are  sometimes  followed  by 
perspiration,  which  must  not  be  checked. 

Nettle  Rash.    Urticaria. 

As  indicated  by  the  name,  this  eruption  looks  like  the  patches  or  wheals 
caused  by  the  stings  of  nettles.  The  elevations  are  generally  of  a  red  color, 
with  white  wheals  on  the  surface.  Sometimes,  however,  there  is  little  or  no 
redness,  and  the  elevated  parts  are  paler  than  the  surface  around  them. 

The  eruption  is  always  attended  by  burning  and  itching,  especially  when 
the  patient  gets  warm  in  bed  ;  and  it  is  mostly  preceded  by  nausea  or  vomiting, 
loss  of  appetite,  thirst,  furred  tongue,  &c.  In  some  instances,  indeed,  the 
skin  is  very  hut  and  dry,  and  the  pulse  greatly  accelerated. 

This  disease  may  originate  from  some  particular  article  of  diet;  in  some 
persons  shell-fish  invariably  produce  it;  in  others  it  is  induced  by  bitter 
almonds,  vinegar,  salad,  cucumbers,  mushrooms,  honey,  &c. 

Aconitum,  if  tbe  eruption  is  preceded  by  much  fever,  with  hot, 
dry  skin,  thirst,  furred  tongue,  hard  and  quiclc  pulse,  restlessness 
and  anxiety. 

Dulcamara,  when  excited  by  exposure  to  cold  or  damp,  when 
occurring  in  wet  weather,  or  when  attended  with  some  fever, 
bitter  taste  in  the  mouth,  diarrhoea  at  night,  foul  tongue,  and 
violent  itching  and  burning. 

Pulsatilla,  when  the  eruption  has  been  produced  by  eating 
unwholesome  food,  and  is  attended  by  looseness  of  the  bowela 
in  the  morning.  This  remedy  is  particularly  suitable  for  females 
and  persons  of  a  mild  temper. 

Rhus,  when  arising  from  some  peculiarity  of  constitution,  in 
which  the  attacks  are  excited  by  some  particular  article  of  food, 

Bryonia,  when  the  eruption  has  suddenly  disappeared  from 
the  surface,  and  is  followed  by  difficulty  of  breathing,  pain  in 
the  breast,  &c. 

-  Belladonna  should  be  given,  if  the  eruption  is  attended  by 
violent  headache  and  red  face ;  if  the  children  cry  much ;  if  tho 
patches  are  yellowish  red,  and  if  rubbing  eases  the  itching. 


CHAP.  XIII  DISEASES   OF   THE   SKIN.  823 

Apium  virus,  if  the  patches  are  bluish  red,  or  pale  and  trans- 
parent, with  much  swelling,  itching,  stinging  and  burning;  if 
rubbing  cannot  be  borne  at  all,  or  if  hard  rubbing  only  gives 
relief;  if  the  children  become  easily  angry. 

Separ,  when  attended  by  severe  catarrhal  symptoms,  princi- 
pally affecting  the  head,  and  worse  on  one  side;  if  commencing 
on  the  arms  and  chest ;  if  worse  in  the  open  air ;  for  persons 
of  a  violent,  irritable  temper. 

Cepa,  if  accompanied  by  catarrh;  if  the  eruption  begins  on 
the  thighs;  if  better  in  the  open  air;  for  sleepy,  fearful  and 
anxious  persons. 

Nux  vomica  is  indicated  when  the  eruption  is  excited  by  indul- 
gence in  spirituous  or  malt  liquors. 

Arsenicum,  if  caused  by  eating  unripe  fruit,  or  in  severe  cases, 
worise  at  night,  followed  by  a  croup-lilce  cough ;  also  after  the 
disease  has  been  suddenly  suppressed. 

Calcarea,  when  the  eruption  always  appears  more  after  cold 
washing,  or  has  been  suddenly  repelled. 

Spirits  of  camphor  (a  drop  on  sugar)  will  sometimes  remove 
the  disease,  when  it  suddenly  comes  on  after  taking  acid  fruit  or 
vinegar. 

External  applications  of  all  kinds  should  be  avoided  in  this 
as  well  as  in  other  acute  eruptive  diseases,  as  their  use  is  liable 
to  cause  a  sudden  disappearance  of  the  eruption,  which  may  have 
serious  or  fatal  consequences. 

In  the  chronic  forms  of  this  disease,  the  remedies  which  have 
been  found  useful  are,  Gaharea,  Lycopodium,  Causticum,  Sulphur 
and  Garho  vegetahilis. 

Measles. 

Measles  are  nsnally  preceded  by  catarrhal  symptoms,  such  as  profuse  watery 
discharges  from  the  eyes  and  nose  ;  short,  dry  and  distressing  cough  ;  the  eyes 
have  a  peculiar  watery  appearance,  and  become  more  or  less  inflamed. 

The  fever  at  times  becomes  very  high ;  nausea  and  vomiting  often  set  in, 
and  there  is  pain  in  the  pit  of  the  stomach  on  pressure.  The  eyes  are  more 
sensitive  to  light ;  tlie  cough  more  violent  and  accompanied  by  hoarseness  and 
diflBculty  of  breathing,  and  a  feeling  of  tightness  across  the  chest. 

In  from  two  to  five  days  the  eruption  appears  as  small  red  spots,  of  an 
irregular  four-sided  (rhom{)oid)  shape,  slightly  raised  above  the  surface.    It  ia 


324  TREATMENT   OF   DISEASES. 

generally  first  seen  about  the  head,  near  the  hair,  and  on  the  temples  ;  then 
on  the  forehead,  face  and  neck,  from  whence  it  spreads  to  the  trunk  and 
limbs. 

If  you  press  your  finger  upon  a  single  spot,  the  redness  will  disappear,  but 
after  taking  off  the  finger,  the  redness  will  return,  first  in  the  middle  and 
thence  spread  to  the  margin  ;  in  other  similar  diseases,  the  redness  returns  in 
the  reverse  oxAqt,  first  on  the  margin  and  then  in  the  middle. 

The  red  spots  generally  run  together  in  patches  ;  in  about  five  days  from 
its  first  appearance  it  begins  to  die  away,  and  gradually  disappears  in  the 
same  order  as  it  advanced.  The  cuticle  (thin  skin)  sometimes  comes  off  in 
small  bran-like  scales,  and  the  cough  and  other  catarrhal  symptoms  yield. 

Aconitum^  the  chief  medicine  in  this  complaint,  is  especially 
indicated  when  the  fever  is  violent,  with  hot,  dry  skin ;  heat  in 
the  head;  giddiness;  redness  of  the  eyes  and  dread  of  light,  and 
great  weakness. 

Pulsatilla^  when  the  catarrhal  symptoms  predominate, — when 
the  eruption  is  tardy  in  coming  out;  if  it  foils  to  produce  an 
abatement.  Sulphur  should  be  given,  and  afterwards  Aconitum 
again.  Aconitum  and  Pulsatilla  may  be  administered  alter- 
nately. 

Belladonna^  when  the  throat  becomes  sore,  attended  with  thirst, 
difficulty  of  swallowing,  shooting  and  prickling  pains  in  the 
throat;  and  also  when  there  is  dry,  barking  or  spasmodic  cough, 
worse  at  night,  with  rattling  of  mucus;  likewise  in  those  cases 
where  the  eruption  does  not  appear,  but  there  is  headache  and 
great  inflammation  of  the  eyes;  congestion  towards  the  head. 

Euphrasia^  when  the  catarrhal  symptoms,  cough  and  inflam- 
mation of  the  e3'es,  with  great  watei'ing,  are  very  prominent. 
If,  at  the  same  time,  the  fever  runs  high,  this  medicine  should  be 
alternated  witli  Aconitum. 

Ipecacuanha  is  most  serviceable  in  arresting  the  vomiting; 
also  when  there  is  oppression  of  the  chest. 

Bryonia^  when  the  eruption  is  imperfectly  developed,  or  when 
there  is  congestion  to  the  chest,  with  shooting  pains  or  stitches, 
increased  by  taking  a  deep  inspiration  ;  and  violent  dry  cough: 
Sulphur  in  cases  of  congestion  or  inflammation  of  the  lungs. 
Arsenicum  will  be  required  if  the  sickness  or  vomiting  and 
oppression  of  the  chest  remain  after  the  use  of  Ipecacuanha.  In 
the  severe  cases,  with  typhoid  symptoms,  Arsenicum,,  Bryonia^ 
Phosphorus  and  Rhus  will  be  useful. 


CHAP.  XIII.  DISEASES   OF   THE  SKIN.  325 

Measles  frequently  leave  behind  diseases  more  dangerous  than  themselves* 
consequently  great  care  is  required  in  the  after  treatment.  * 

In  scrofulous  children,  troublesome  swelling  and  inflammation  of  the  glands, 
especially  those  of  the  neck,  are  apt  to  occur;  or  the  eyes  may  be  affected 
with  diseases,  diflBcult  to  cure,  and  the  foundation  be  laid  for  consumption  of 
the  lungs. 

For  the  cough  which  frequently  remains  after  measles,  Brijo- 
nia,  Sulphur,  Causticum,  Hyoscyamus,  Drosera,  and  other  reme- 
dies, recommended  under  "  Cough,"  are  serviceable.  Swelling 
of  the  glands  in  the  neck  requires  Arnica,  Dulcamara  or  Mercu- 
rius.  Burning  and  itching  of  the  skin,  Nux  vomica,  Sulphur  and 
Arsenicum.     Tenderness  of  the  skin,  Mercurius. 

When  measles  are  prevailing  as  an  epidemic,  the  administra- 
tion of  Pulsatilla,  every  two  or  three  days,  on  the  first  appear- 
ance of  catarrhal  symptoms,  will  often  ward  off  an  attack,  or, 
if  it  should  be  taken,  render  the  disease  milder. 

Scarlet  Fever,    Scarlatina. 

In  scarlet  fever  the  skin  is  of  a  bright  red  or  yellowish-red  color,  or  like  that 
of  a  boiled  lobster.  The  eruption  terminates  in  about  a  week  by  peeling  ofiT 
of  the  skin. 

It  commences  often  with  nausea  and  vomiting;  slight  chills  or  creepings, 
followed  by  heat  of  skin  and  thirst,  and  occasionally  headache,  and  more  or 
less  stupor.  The  eruption  appears  at  first  most  on  parts  that  are  covered 
and  later  on  other  parts. 

The  mouth  and  fauces  are  also  of  a  red  color ;  the  tongue  is  generally 
covered  with  a  white  coating,  with  elongated  red  points. 

Sometimes  the  throat  is  considerably  affected,  the  symptoms  are  more 
severe  from  the  commencement.  The  tonsils  are  swollen ;  the  whole  throat 
becomes  covered  with  grey,  yellowish,  or  white  sores ;  it  assumes  a  dark  hue, 
and  the  breath  becomes  offensive. 

'I'he  fauces  have  sometimes  a  dark  red  appearance,  without  much  swelling; 
and  ulceration  or  gangrene  with  extensive  sloughing  speedily  takes  place. 

Sometimes  an  acrid  discharge  takes  place  from  the  nose,  the  eyes  or  ears ; 
the  glands  of  the  mouth  and  neck  become  inflamed  and  swollen. 

Scarlet  fever  sometimes  occurs  without  any  eruption  on  the  skin  ;  but  in- 
stead, the  mouth  and  fauces  become  affected.     This  form  may  prove  fatal. 

Scarlatina  is  often  followed  by  dropsy,  diarrhoea,  bronchitis,  tubercles  in  the 
lungs,  and  other  serious  maladies. 

Aconitum  may  be  administered  in  the  very  beginning,  before 
the  eruption  makes  its  appearance,  when  the  fever  is  high,  pulse 
rapid,  head  hot,  hands  and  feet  cold,  twitching  of  the  fingers, 
and  tossing  about. 

Belladonna,  in   the   simple  forms  of  scarlet  fever ;  it  should 

29 


326  TREATMENT   OF   DISEASES. 

also  be  given  as  soon  as  the  throat  and  tongue  become  affected 
with  dryness  and  burning,  and  there  is  excessive  thirst,  but  ina- 
bility to  swallow;  bright  red  appearance  of  the  throat  and 
tongue,  with  or  without  excoriation,  white  specks,  or  stringy 
mucus;  swelling  of  the  tonsils  and  stiffness  of  the  jaws  and 
neck,  and  delirium. 

Mercurius  after  Belladonna,  when  the  latter  has  failed  to  pro- 
duce a  favorable  change,  and  there  is  ulceration  of  the  tonsils, 
with  increase  of  mucus,  and  swelling  of  the  tongue,  throat  and 
tonsils. 

Lachesis,  if  children  are  very  cross,  strike  their  nurses,  or  send 
all  persons  away. 

Arsenicum^  when  the  ulcers  of  the  throat  turn  livid  about  the 
edges,  and  emit  an  offensive  odor ;  great  thirst,  restlessness  and 
extreme  prostration  of  strength. 

In  the  malignant  form,  Arsenicum,  LycopodiuTn  and  Phosphoric 
acid  will  be  found  of  most  service. 

It  has  been  recommended  to  rub  the  patient  two  or  three  times 
a  day  with  bacon  all  over ;  the  children  like  this  rubbing  very 
much,  as  soon  as  they  know  how  well  it  feels. 

The  diseases  which  often  follow  scarlet  fever  are  worse  than 
itself.  If  the  child  commences  to  swell,  particularly  about  the 
neck,  give  Rhus.  If  the  glands  on  both  sides  of  the  neck  swell, 
and  Rhus  does  no  good,  give  Arsenicum ;  if  the  glands  break, 
and  discharge  thin,  offensive  matter,  Calcarea.  These  cases 
should  always  be  treated  by  a  homoeopathic  physician. 

It  is  of  the  utmost  importance  to  guard  the  children  against 
tak\ng  cold,  and  to  be  very  careful  in  regard  to  their  diet.  As 
long  as  small  particles  of  the  skin  come  off,  the  children  must 
not  go  in  the  open  air.  At  this  time  it  is  most  contagious.  The 
children  may  be  washed  with  bran- water,  wear  flannel  under- 
shirts, and  take  exercise  in  the  room.  They  may  eat  plenty  of 
fruit,  particularly  apples,  but  nothing  fat. 

If  they  should  catch  cold,  and  the  whole  body  swell,  give 
Arsenicum  or  Bryonia ;  later,  sometimes.  Belladonna  or  Calcarea, 
If  their  skin  feeis  cool,  Carlo  vegetdbilis.      If  they  complain  of 


CHAP.  XIII.  DISEASES   OF   THE   SKIN".  327 

heat,  and  cannot  bear  the  warm  room,  and  particularly  if  small 
blackish  particles  are  deposited  by  their  urine,  or  if  the  urine 
coagulates  when  heated,  like  white  of  eggs,  give  Apium  virus. 

Belladonna  may  be  given  as  a  preservative  against  scarlet  fever 
when  prevailing  as  an  eipidemic;  and  also  in  modifying  the 
disease.  A  dose  of  the  mediciue  may  be  taken  every  other  day, 
until  symptoms  appear. 

Scarlet  Rash, 

It  may  be  distinguished  from  genuine  scarlatina  by  the  dark,  almost  purple 
appearance  of  the  eruption,  by  the  pressure  of  the  finger  leaving  no  white 
mark,  and  by  the  small  grains  iu  the  skin,  which  are  distinctly  felt  on  passing 
the  hand  over  it. 

Persons  who  have  suffered  once  from  this  aSection  are  by  no  means  exempt 
from  future  attacks. 

Sore  throat  is  not  often  so  severe  a  symptom  in  scarlet  rash  as  in  scarlatina. 
It  is  chiefly  met  with  when  the  eruption  is  wanting,  and  at  its  commencement 
and  decline. 

Aconitum  will  generally  remove  this  disorder,  unless  it  is 
complicated  with  some  other  affection. 

Goffea  may  in  some  instances  be  required  after  or  alternately 
with  Aconitum^  when  there  is  much  restlessness  and  agitation,  or 
pains  in  the  head  or  extremities,  accompanying  it. 

Belladonna,  when  complicated  with  scarlet  fever,  with  sore 
throat,  affections  of  the  head,  &c. 

Ipecacuanha,  followed  if  necessary  by  Pulsatilla,  when  attended 
by  nausea  and  vomiting,  or  diarrhoea. 

Bryonia,  when  there  is  congestion  to  the  chest,  with  hurried 
respiration,  pain,  &c.  It  may  be  given  advantageously  after 
Ipecacuanha. 

Chicken-Pox. 

The  eruption  is  generally  preceded  for  a  day  or  two  by  more  or  less  fever, 
nausea  or  vomiting,  &c. 

It  generally  passes  off  without  requiring  any  medical  assistance  ;  when, 
however,  the  eruption  is  attended  by  a  considerable  degree  of  fever,  a  dose 
or  two  of  Aconitum  may  be  given  ;  when  there  is  much  headache  or  congestion 
towards  the  head.  Belladonna.  If  the  eruption  is  considerable,  Tartar  etnetie 
or  Mercurius  may  be  beneficial. 


828  TREATMENT  OF   DISEASES. 

Small-Pox. 

The  room  of  a  small-pox  patient  should  be  kept  well  venti- 
lated, and  not  too  warm ;  very  little  light  should  be  admitted. 

Aconitum,  if  there  are  congestions  to  the  head  or  lungs ;  in- 
jected eyes ;  fulness  in  the  chest,  with  increased  action  of  the 
heart ;  and  great  restlessness  before  the  eruption. 

Belladonna  also  before  the  eruption,  if  there  is  delirium  with 
headache  ;  red  face ;  inflammation  of  the  eyes,  with  anxious  look ; 
intolerance  of  noise ;  and  later,  if  the  pustules  are  too  red. 

Bryonia.  Headache  and  backache;  cough,  with  soreness  in 
the  chest ;  constipation ;  or  if  the  eruption  is  delayed,  with  a 
sensation  as  if  the  flesh  had  been  bruised. 

Variolinum  is  the  most  important  remedy,  give  one  or  two 
doses;  afterwards  sometimes  Bhus,  Hepar  or  Sulphur. 

Mercurius.  Sore  throat;  ulcerations  about  the  eyes  and  nose; 
foetid  breath ;  and  pains  in  the  bowels,  with  perspiration  and 
diarrhoea. 

Sulphur^  when  the  pustules  begin  to  fill,  and  for  the  itching 
during  the  drying  stage. 

Tartarus  emeticus  is  useful,  if  there  is  drowsiness  with  gaping; 
coolness  and  clamminess  of  the  skin;  or  sickness  of  stomach 
when  the  eruption  ought  to  appear. 

Varioloid.    Modified  Small-Pox. 

Belladonna,  if  there  is  headache  and  coated  tongue. 

Sulphur,  to  hasten  the  drying  of  the  eruption. 

But  there  are  many  cases  which  run  a  longer  time,  and  require 
remedies  like  those  for  small-pox.  Consult  a  homoeopathic  phy- 
sician. 

Erysipelas.    St.  Anthony's  Fire.    Rose. 

Aconite  is  indicated  in  cases  attended  by  much  fever,  hot,  dry 
skin,  thirst,  kc. 

Belladonna,  »n  erysipelas   accompanied  with   acute  shooting 


i 


CHAP.  XIII.  DISEASES   OF   THE    SKIN.  329 

pains,  heat  and  tingling;  the  redness  commencing  in  a  small 
spot  and  extending  in  rays;  swelling.  It  is  particularly  valuable 
in  erysipelas  of  the  face ;  excessive  swelling,  so  that  the  eyes 
are  closed,  and  the  features  can  scarcely  be  recognized;  head- 
ache ;  thirst ;  hot,  dry  skin,  restlessness  and  delirium. 

Hhus,  if  small  or  large  blisters  appear. 

Bryonia,  when  the  disease  attacks  the  joints,  and  the  pain  is 
increased  by  the  least  movement.  Sulphur  is  sometimes  re- 
quired after  Bryonia. 

Lachesis,  if  the  blisters  become  yellow  or  blue. 

Apium  virus^  if  it  burns  and  stings,  and  if  the  patients  do  not 
like  to  be  touched,  become  ill-humored,  and  cannot  bear  the 
warm  room. 

Pulsatilla  after  Ehus,  particularly  in  wandering  erysipelas 
(when  the  redness  disappears  in  one  place,  to  reappear  in  an- 
other), and  the  skin  is  more  of  a  bluish  red ;  also  in  erysipelas 
of  the  ear ;  and  also  when  the  attacks  follow  some  particular 
articles  of  food,  in  persons  predisposed  to  the  complaint.  Bryonia 
and  Bhics  are  also  useful  in  cases  of  this  kind. 

Arsenicum,  when  the  erysipelas  assumes  a  blackish  hue,  with 
a  tendency  to  gangrene,  accompanied  by  great  prostration  of 
strength. 

Carbo  vegetdbilis  may  in  some  instances  follow  Arsenicum. 

Hepar,  Mercurius  and  Phosphorus  are  of  importance  when  the 
erysipelas  terminates  in  abscess.  Arsenicum  and  Sulphur  in 
cases  terminating  in  ulceration.  And  in  some  of  the  chronic 
forms,  Silicea,  Sulphxcr  and  Hepar  will  prove  serviceable,  but  it 
is  much  better  to  consult  a  homoeopathic  physician,  even  at  a 
distance. 


To  allay  the  itching  and  heat  which  is  sometimes  intolerable,  cotton  wool 
may  be  laid  upon  or  wrapped  around  the  affected  part,  or  powdered  starch 
may  be  dusted  over  the  surface.  Greasy  applications  and  washes  of  every 
kind  should  be  prohibited,  as  they  almost  always  ajrgravate  the  disease,  and 
may  prove  highly  dangerous  by  suddenly  repelling  the  eruption. 

If  erysipelas  has  been  repelled,  give  Cuprum,  which  is  also  serviceable  if 
the  erysipela  i  was  at  first  slight,  disappeared  and  returned  more  violent. 

29* 


330  TREATMENT  OP   DISEASES, 


Itching  of  the  Skin. 

This  is  usually  a  symptom  of  some  other  disease  by  which  we  may  b<i 
guided  in  the  choice  of  a  remedy.  J"  however,  the  itching  appears  to  be  the 
only  or  chief  symptom,  try  to  alleviate  the  irritation  by  brushing  the  whole 
body;  if  this  does  not  answer,  by  washing  with  warm  water;  and  lastly,  use 
water  with  soap.  If  this  does  not  remove  it,  take  Sulp/nrr  in  water  every 
day.  When  it  is  worse  in  particular  places,  and  you  cannot  keep  from  scratch- 
ing them  until  they  bleed,  rub  these  parts  with  fresh  olive  oil,  so  as  to  moisten 
the  skin  in  the  first  place,  and  then  dry  it  again  by  rubbing  it  slowly.  When 
the  itching  is  more  troublesome  at  night,  wash  the  parts  in  the  evening  with 
brandy,  but  when  the  whole  body  is  affected,  or  when  females  or  children  suffer 
in  this  way,  take  starch  of  wheat  flour  and  powder  the  skin  thickly  with  it. 
In  cases  where  none  of  these  things  give  relief,  take  Camphor  and  mix  it  with 
the  starch,  or  wash  the  parts  with  water  in  which  Camphor,  previously  dis- 
solved in  spirits,  has  been  mixed. 

Many  kinds  of  itching  may  be  quickly  cured  by  meJicines;  for  instance,  if 
it  always  commence  when  undressing,  Niix  vomica  or  Arsenicum  will  generally 
relieve  it ;  when  it  is  very  troublesome  after  getting  into  bed,  as  if  caused  by 
insects,  and  when  scratched,  moves  from  one  place  to  another,  give  hjnatia. 
When  it  does  not  commence  until  the  patient  has  become  warm  in  bed,  PtiU 
satiUa  ;  if  this  does  not  answer.  Merciirius,  particularly  when  it  continues  the 
whole  night ;  if  not  relieved,  give  Sulphur  a  couple  of  days  after,  and  later, 
Carbuveijctuliilis;  when  the  itching  is  accompanied  by  intense  burning,  give 
Rhus,  or  Apiinn  virus  or  afterwards  Hepar;  when  scratching  produces  a  great 
deal  of  bleeding,  give  Mercurius  and  Sulphur,  alternately,  every  week,  until 
better. 

Itch.    Scabies. 

It  is  very  easy  to  get  rid  of  the  itch  by  ointments  or  other  outward  appli- 
cations, it  does  not  require  any  skill  to  do  this.  The  suppression  of  the  itch 
always  causes  other  diseases  which  appear  sometimes  directly,  sometimes 
after  a  few  weeks,  and  in  other  cases  only  'after  years  ;  the  later  they  appear 
the  more  difficult  they  are  to  cure.  It  is,  therefore,  senseless  and  wrong  to 
expose  oneself  to  such  a  danger,  be  the  trouble  from  the  complaint  ever  so 
great. 

Amongst  the  many  kinds  of  itch,  which  trouble  men,  there  is  one  caused 
by  the  presence  of  a  very  small  mite  under  the  scarf  skin,  where  it  makes  its 
tracks  and  deposits  its  eggs,  causing  the  eruption  of  little  pustules.  All 
cleanly  persons  will  observe  this  the  first  day.  You  can  see  the  tracks  dis- 
tinctly enough  but  it  requires  great  experience  and  very  good  eyes  to  see  the 
mite. 

In  the  very  first  beginning  one  may  always  get  rid  of  the  itch  easily,  and 
without  danger,  by  outward  applications. 

A  good  preventive  and  protection  is  the  balsam-apple,  put  a  few  branches 
of  the  plant  into  the  bed.  Also  balsam  of  Peru,  shaken  with  water  as  a  wash, 
will  drive  away  the  mites  and  prevent  infection.  But  if  the  eruption  has 
ali'eady  appeared,  take  of  the  finest  powder  of  sulphur,  sold  by  druggists 
under  the  name  of  milk  of  sulphur,  pour  alcohol  upon  it,  shake  and  let  it  settle 
mix  a  teaspoonful  of  the  clear  fluid  with  a  pint  of  water  and  wash  with  this 
mixture  all  parts  which  itch.    If  it  gives  no  relief  make  it  stronger  ;  if  yuu  can 


CHAP.  XIII.  DISEASES   OF   THE   SKIN".  331 

see  the  tracks,  put  some  of  the  above  alcohol  upon  them  with  a  camol's  hair 
brush.  If  the  pustules  are  large  and  full,  it  is  better  to  shake  some  common 
mercury  with  alcohol  and  use  it  the  same  way. 

In  cases,  in  which  the  washing  does  no  good,  because  there  are  no  mites 
present,  take : 

Mercurius,  and  after  a  few  days  Sulphur,  and  so  on  alter- 
nately ;  if  it  gets  better  do  not  then  take  them  so  often ;  if  it  does 
not  improve  at  all,  take  other  remedies. 

Carlo  vegetabilis  every  other  day,  if  the  vesicles  are  small  and 
dry  ;  or  Hepar  once  night  apd  morning. 

If  the  pustules  are  large  and  fat,  take  Mercurius;  then  Sulphur, 
and  afterwards  Causticum,  night  and  morning,  in  water.  If  the 
pustules  are  large,  and  become  yellow  and  blue,  take  Lachesis  ; 
repeat  it  as  often  as  the  pains  get  worse. 

If  it  disappears  too  suddenly,  take  Sulphur  or  Arsenicum  until 
it  returns. 

Boil.    Furunculus. 

A  boil  consists  of  a  hard,  round,  or  rather  a  cone-shaped  tumor,  which  in- 
flames and  suppurates  ;  the  matter  discharged  being  at  first  mixed  with  blood, 
and  afterwards  composed  of  pus,  and  a  rounded  hard  mass  called  a  core  is 
formed. 

>    Some  persons  have  a  peculiar  constitutional  predisposition  for 

them  ;  they  also  frequently  follow  after  acute  fevers,  and  other 

diseases. 

Arnica  will  lessen  the  pain  and  inflammation,  and  frequently 
prevent  their  recurrence. 

Sulphur  in  cases  where  there  is  a  frequent  return  of  it.  By 
giving  Arnica  while  the  boil  is  inflamed  and  swollen,  and  a  dose 
of  Sulphur  occasionally,  after  it  has  healed,  this  predisposition 
may  be  gradually  removed. 

Belladonna,  if  it  presents  a  fiery-red  or  erysipelatous  appear- 
ance, or  if  it  is  attended  by  swelling  of  the  glands  under  the 
arms,  or  in  the  groins,  with  fever,  thirst  and  headache. 

Hepar,  in  cases  where  the  suppuration  is  too  slow  and  small. 

Mercurius,  if  the  suppuration  is  profuse,  and  the  swelling 
remains. 


332  TREATMENT  OF  DISEASES. 


Carbuncle.   Malignant  Furunculus. 

It  is  larger  and  harder  than  the  former,  extends  more  around,  of  a  livid 
hue  and  opens  in  several  places ;  the  patient  suffers  more,  generally  there  is 
sleeplessness,  prostration,  want  of  appetite,  &c.  After  it  has  opened  there 
is  no  relief  and  finally  parts  of  the  skin  and  deeper  parts  slough. 

It  appears  more  frequently  in  old  persons,  and  is  inclined  to  appear  on  the 
back,  near  the  spine  or  on  the  head.  Cases  in  persons  whose  general  health 
has  previously  been  undermined,  and  cases  which  are  treated  improperly  may 
end  fatally. 

Arnica  given  at  the  very  first  may  lessen  the  pain,  and  pre- 
vent it  altogether ;  if  so,  Nux  vomica  will  remove  the  remaining 
symptoms,  particularly  in  old  drunkards. 

Arsenicum,  as  soon  as  it  is  spreading,  with  a  burning  pain, 
worse  at  night ;  great  general  weakness  ;  restlessness  at  night ; 
also  when  the  sloughing  is  attended  with  a  violent  burning 
pain,  and  prostrates  very  much  ;  if  the  patient  is  irritable  and 
despairing. 

Hepar,  if  the  patient  is  weakened  by  a  copious  discbarge;  the 
holes  run  together  and  form  a  large  cavity ;  if  there  is  weakness 
of  voice. 

Silicea,  pain  and  burning  moderate ;  the  patient  not  altered  in 
his  mind,  or  of  a  mild  temper ;  or  if  he  cannot  sleep  for  restless- 
ness and  heat  in  the  head ;  sweat  on  the  head ;  or  if  he  has  a 
festering  skin. 

Lachesis  if  bluish  spots  or  blue  blisters  appear,  or  if  little 
sores  come  out  around  the  larger  one. 

Chilblain.    Frostbite. 

The  mild  forms  of  this  complaint  may  frequently  be  cured  by  applications 
of  ice  water  or  snow.  Covering  the  part  with  carded  cotton  will  sometimes, 
in  mild  cases,  effect  a  cure.  Another  application  is  common  glue,  prepared 
by  boiling  it  with  water  until  it  becomes  of  a  proper  consistency,  and  then 
applying  it  warm  to  the  affected  part, 

Pulsatilla  may  be  given  when  the  skin  assumes  a  deep  red, 
bluish  or  livid  hue,  and  is  attended  by  violent  burning  and 
itching. 

Nux  vomica,  when  of  a  bright  red  color. 

Sulphur^  when  the  former  remedies  have  been  insuflficient. 


CHAP.  XIII.  DISEASES   OF   THE   SKIN.  333 

Chamomilla  when,  in  addition  to  the  itching  and  burnino-, 
thei'e  are  acute  pains  in  the  affected  part. 

Arsenicum^  for  acute,  burning  pains;  also  for  the  irritable,  ill- 
conditioned  ulcers  which  sometimes  occur.  They  should  be 
dressed  with  wet  rags,  covered  with  oiled  silk,  until  the  parts  are 
completely  healed.  Persons  who  are  troubled  every  winter  with 
chilblains,  should  never  eat  pork  and  roasted  goose. 

Whitlow.     Felon. 

Poultices  of  bread  and  milk,  linseed  meal,  or  yeast,  sometimes  give  relief 
and  are  always  useful  in  softenina:  the  skin.  Applications  oi  %oarm  soft  soap, 
or  common  brown  soap,  to  the  affected  part,  will  occasionally  remove  the  pain 
and  swelling.  But  in  most  cases  such  applications  only  hasten  a  superficial 
suppuration,  and  make  the  case  more  serious  and  painful  in  the  end. 

It  is  much  better  to  apply  nothing  but  rags,  wet  with  cold  or  warm  water, 
which  ever  agrees  best,  and  keep  it  wet  day  and  night,  while  taking  one  of  the 
following  internal  remedies. 

Mercurius  should  be  given  in  the  commencement,  and  will 
often  prevent  the  disease  from  going  on  to  suppuration.  Sulphur^ 
taken  after  it,  will  frequently  complete  the  cure. 

Eepar,  when  the  pain  becomes  violent,  throbbing,  and  the 
swelling  increases.  Causticum  after  Hepar,  if  this  did  no  good 
at  all. 

SlUcea,  if  Hepar  improved  it  somewhat,  but  when  the  pain  is 
intense,  and  the  swelling  continues  unabated. 

Lachesis,  in  cases  v,^hen  the  aflected  part  is  of  a  deep  red  or 
bluish  color. 

Arsenicum  should  be  given  if  the  sore  becomes  angry-looking 
or  black,  with  burning  pain. 

Sulphur  and  Silicea,  administered  alternately,  at  intervals  of 
six  or  eight  days,  will  remove  the  tendency  to  a  return  of  the 
disease. 

It  may  sometimes  be  necessary,  after  matter  is  formed,  in  order 
to  relieve  the  sufferings  of  the  patient,  to  lay  open  the  parts 
freely  with  a  knife  ;  but  it  always  lengthens  the  complaint. 


834  TREATMENT  OF   DISEASES. 


Ulcer. 

In  the  tro;itnient  of  a  simple  ulcer,  in  a  person  of  sound  constitution,  all 
tfiat  is  necessary  is  to  dress  it  with  some  mild  and  fresh  ointment,  spread  on 
lint  or  on  a  fine  linen  rag,  to  protect  it  from  external  injury,  and  prevent  the 
evaporation  of  pus.  Simple  cerate  is  one  of  the  best  applications  for  this 
purpose.  In  some  cases  the  dry  lint  alone  will  answer  best,  and  in  others  cold 
bread  and  milk  poultices  are  useful.  The  cold  water  dressing,  linen  rags 
dipped  in  cold  water  and  applied  to  the  ulcer,  are  beneficial  in  some  cases. 
They  must  be  kept  moist  by  being  frequently  changed,  or  by  covering  them 
over  with  oiled  silk  or  gutta  percha  tissue. 

When  ulcers  are  of  a  long  continuance,  it  is  best  to  consult  a  homoeopathic 
physician.  They  ought  to  be  healed  slowly,  otherwise  a  different  and  more 
violent  disease  will  be  the  consequence.  Drying  them  up  with  vitriol,  or 
white  l^ad,  or  lead-water,  is  always  dangerous. 

Wh'm  the  pain  is  very  violent,  stinging  and  burning,  it  may  often  be  relieved 
by  keeping  the  part  in  an  elevated  posture,  and  applying  cold  or  warm  water, 
by  means  of  rags  di])pcd  in  it,  and  frequently  renewed.  In  unhealthy-looking 
ulcers,  with  a  tendency  to  sloughing,  and  when  the  pain  is  very  violent  and 
stinging,  a  poultice  made  with  yeast  and  bread  will  be  found  useful  for  clean- 
ing the  ulcer  and  allaying  the  pain. 

Some  old  indolent  ulcers  of  the  legs  are  only  to  be  cured  by  perfect  rest, 
or  by  tightly  bandaging  the  limb,  from  the  toes  upwards  to  above  the  ulcer, 
with  strips  of  adhesive  plaster. 

For  ulcers  which  burn  badly,  give  Arsenicvm;  when  they  burn  and  smell 
offensively,  Crrbo  ver/ftahilif: ;  when  they  spread,  and  are  surrounded  by  pus- 
tules or  small  ulcers,  give  Lachesis. 

Ulcers  on  the  toes,  especially  of  old  people,  commencing  with  a  blister,  as 
if  caused  by  a  burn,  are  cured  by  Silicea;  if,  at  the  outset,  there  are  blue 
black  spots,  by  Arscnicutu,  especially  if  warmth  is  agreeable  ;  but  if  warmth 
produces  pain,  S'cale  is  most  suitable.  In  all  such  cases,  the  use  of  salves 
containing  M'hite  lead  is  very  dangerous. 

Ulcers  arodud  an  old  wart,  or  around  corns  and  the  like,  may  be  cured  by 
Antiinoiiium  crudinn.  Ointments  of  lead  or  mercury  will  dry  them  up  speedily, 
but  fatal  con&bquences  may  ensue,  as  the  result  of  such  treatment. 

Great  pain  and  sometimes  ulcers  may  be  caused  by  the  toe  nails^  qroicing 
into  thejlesh.  The  common  remedy  is  to  cut  the  nail,  and  particularly  in  the 
Bide  where  it  has  grown  in  ;  the  consequence  of  this  is,  that  the  nail  grows 
the  faster  there,  and  in  a  short  time  the  patient  is  again  in  the  same  predica- 
ment. Cutting  the  nail  should  only  be  resorted  to  when  it  is  of  consequence 
that  the  patient  should  walk  again  immediately ;  when  a  little  lint,  gutta  percha 
or  tin-foil  can  be  introduced  with  a  dull  penknife  between  the  nail  and  the 
fikin,  it  is  to  be  preferred.  A  handy  person  may  do  this  himself ;  soak  the 
feet  previously  in  warm  water,  which  will  facilitate  the  operation.  When 
there  is  much  proud  flesh,  strew  some  finely  powdered  loaf  sugar  on  it  twice 
a  day,  and  use  the  foot  as  little  as  possible  for  a  couple  of  days.  At  the  same 
time  scrape  the  nail  in  the  middle  with  a  sharp  knife,  and  repeat  this  operation 
every  day  until  it  is  as  thin  as  it  can  be  made  without  hurting.  By  these 
means  the  sides  will  heal  much  quicker,  and  the  nail  is  more  easily  bent  out, 
Ko  as  to  introduce  the  lint  between  the  skin  and  the  nail.  When  the  edges 
of  the  nail  are  rough,  scrape  them  smooth,  but  du  not  cut  them. 


CHAP.  XIII.  DISEASES   OF  THE   SKIN. 


S35 


The  only  means  of  curing  this  evil  effectually,  is  to  cut  the  nail  frequently 
—  but  not  in  the  shape  of  the  toe.  so  that  the  middle  pro- 

jects farthest,  but  the  very  reverse  :  leave  the  sides  as 
they  are,  and  cut  the  centre  out  as  far  as  possible,  as 
shown  in  the  wood  cut.  A,  the  part  to  be  scraped  off; 
B,  a  linen  tape  or  some  linen  threads  passed  under  the 
nail.  This  need  not  be  done  at  once,  but  gradually ; 
bathe  the  feet  every  week  in  warm  water,  and  cut  the 
nail  as  directed.  The  nail  will  in  consequence,  o-row 
more  in  the  centre  and  less  on  the  sides;  if,  after  some 
time,  the  edges  project  too  much,  a  trifle  may  be  cut 
ofl';  when  it  injures  the  stockings,  put  a  leather  case 
over  it.  Not  until  after  the  expiration  of  a  twelve-month 
should  the  nail  be  allowed  to  grow  out  even  again,  but 
never  cut  it  very  deep  or  close  at  the  sides,  as  this  is  generally  the  cause  of 
the  evil. 

The  soreness  arising  from  the  growing  of  the  nails  into  the  flesh,  will 
mostly  disappear  as  soon  as  sufficient  lint,  tin-foil  or  gutta  percha  has  been 
introduced  between  the  nail  and  the  flesh ;  the  lint  may,  in  addition,  be 
moistened  by  water  mixed  with  "Jiiidure  of  Arnica.  If  this  is  not  entirely 
efitectual,  or  if  the  places  are  becoming  ulcerated,  Nux  vomica  will  act  bene- 
ficially. Causdcviu  has  been  found  by  some  to  be  efficacious;  dip  a  linen  rag 
into  a  solution  of  a  few  globules  of  it  in  water,  and  apply  it  several  times  a 
day;  this  will  remove  the  proud  flesh.  If  there  is  already  a  sore,  and  the 
above  remedies  should  not  speedily  afford  relief,  do  not  be  induced  to  have  the 
nail  removed  or  split.  This  barbarous  operation  may  always  be  avoided  by 
following  the  advice  given  above,  and  particularly  when  homoeopathic  reme- 
dies are  taken  at  the  same  time ;  among  these  the  principal  are  :  Snljihui 
Arsenicum,  Siliceaand  Carho  vegetabilis.  Select  one  according  to  the  kind 
of  pains,  disposition  of  the  patient,  &c. 

Abscess. 

An  acute  abscess  should  not  be  poulticed  with  warm  bread  and  milk  or  linseed 
poultices,  excc'pt  in  extreme  cases.  It  is  much  better  to  use  nothing  but 
warm  or  cold  water,  as  in  whitlow.  Hepar  or  Mercuriiis  hastens  the  suppu- 
ration. Opening  the  abcess  with  a  lancet  is  always  injurious  in  the  end,  even 
if  a  temporary  relief  follows  at  first.  A  natural  opening  keeps  the  air  out, 
an  artificial  one  induces  the  air  to  rush  in.  Under  skilful  homoeopathic 
treatment,  it  is  hardly  ever  necessary  or  advisable  to  open  the  abscess  with 
the  lancet.  Hepar,  3d  trit.,  in  water,  will  hasten  the  breaking  open  quite  suf- 
ficiently. 

If  the  suppuration  should  continue  for  a  considerable  length  of  time,  Silicea. 
When  hard  places  remain  Mercnrius  will  be  useful. 

For  hard  and  swelled  glands,  on  the  neck,  and  under  the  chin  or  ears,  Mer- 
curius,  Dulcamara,  Calcurea  carhonica,  &c.,  are  principal  remedies. 

Corns. 

Coruf  arise  not  only  from  tight  boots  and  shoes,  but  also  from  a  certain 

disposition  with  some  persons,  which  may  be  lessened  by  Aiitimoniuin  cnidiim, 
Fhosphoriis,  Rhus,  Bryonia,  Lycupodium,  Fhosphoric  acid,  and  Sulphur, 
accoi-uiug  to  temperament,  constitution  and  other  circumstances. 


336  TREATMENT   OF   DISEASES. 

Relief  may  be  obtained  by  bathing  the  feet  in  warm  water  and  paring  the 
corns  closely,  and  applying  Arnica  plaster. 

If  the  corns  pain  much  when  the  weather  changes,  take  Rhus,  sometimes 
ftlternately  with  Bryonia  and  Calcarea. 

Sore  Feet 

From  walking  in  boots,  which  rub  the  heel,  should  be  treated  with  nothing 
but  water,  and  Cepa  should  be  taken  internally,  it  will  generally  be  well  in  a 
day  or  two. 

Warts. 

There  is  always  a  risk  in  cauterizing  or  cutting  warts,  for  although  it  may 
frequently  be  done  without  apparent  injury,  dangerous  consequences  some- 
times  ensue,  especially  to  children  and  old  people.  They  will  very  freqnenly 
disappear,  when  fleshy  or  seedy,  after  Caiisticum  or  Natrum  muriaticum  i 
when  they  are  flat,  hard  and  brittle,  upon  taking  Antimonium  crudum  ;  when 
upon  the  backs  of  the  fingers,  Dulcamara;  when  on  the  sides  of  the  fingers 
Calcarea  carhonica. 

Bed  Sores. 

These  may  frequently  be  prevented  by  placing  an  open  vessel  filled  with 
water  under  the  bed  of  the  patient,  renewing  the  water  every  day ;  or  by 
bathing  the  red  spots,  that  threaten  to  become  sore,  with  brandy.  Wetting 
the  sore  places  with  very  cold  water,  or  applying  wet  rags,  accelerates  the 
healing.  When  water  alone  will  not  effect  a  cure,  dissolve  in  it  a  few  drops 
oi  Arnica  tincture;  and  if  there  appears  to  be  danger  of  mortification,  give 
China,  and  wash  the  spots  with  the  same  medicine  dissolved  in  a  little  water 
When  the  wound  is  large,  apply  scraped  sweet  carrots  to  it. 


CHAPTEE  XIV. 

SOME    GENERAL    DISEASES. 

Rheumatic  and  Gouty  Pains. 

Gout  is  difficult  to  cure,  but  the  pain  may  at  least  be  miti- 
gated. The  complaints,  inevitably  produced  by  the  common 
treatment  with  mercury,  calomel,  valerian,  digitalis,  colchicum, 
opium  or  laudanum,  and  other  so-called  harmless  medicines,  de- 
structive of  human  health,  are  prevented  by  homoeopathic 
treatment,  and  the  patient  is  likewise  spared  the  many  tortures 
of  external  applications. 


OHAP.  XIV.  GENERAL   DISEASES.  337 

In  wine  and  brandy  drinkers,  the  first  attack  may  be  alleviated 
by  Nux  vomica ;  for  violent  fever,  give  Aconitum,  which  may 
also  be  given  after  other  remedies  have  been  used,  particularly 
Sulphivr.  When  the  pain  in  the  joints  resembles  that  of  a  sprain, 
with  redness,  dread  of  being  touched,  an  uncomfortable  feeling, 
as  if  whatever  the  limb  rested  on  was  too  hard  for  it.  Arnica , 
when  the  redness  spreads  very  much,  and  is  very  deep,  Bella- 
donna;  when  the  pain  flies  quickly  from  one  joint  to  another, 
and  relief  is  felt  when  the  limb  is  uncovered,  give  Pulsatilla ; 
if  the  pains  become  worse  after  it,  give  a  cup  of  coflee,  repeat 
the  Pulsatilla^  and  as  long  as  it  makes  it  worse  continue  the 
coffee.  When  the  pain  is  mitigated  upon  covering  the  limb,  and 
the  patient  is  very  weak  and  much  reduced  by  the  disease,  give 
Arsejiicum;  when  the  face  is  very  pale  and  haggard,  the  pain 
stinging  and  tearing,  worse  during  the  night,  and  when  the  limbs 
must  continually  be  moved  from  one  place  to  another,  Ferrum 
or  Rhus ;  when  worse  from  being  moved,  Bryonia;  worse  from 
being  touched,  China;  when  the  complaint  is  attended  with 
nausea  and  a  white-coated  tongue,  give  Antimonium  crudum^  and 
afterwards,  if  necessary,  one  of  the  other  remedies.  When  the 
attacks  return  at  every  change  of  weather,  give  Calcarea;  if  the 
complaint  becomes  protracted,  always  give  Sulphur,  and  if  worse 
again,  Aconitum  ;  if  the  limbs  remain  stiff  afterwards,  give  Colo- 
cynthis;  if  they  are  stiff  from  old  gouty  swellings,  give  Caustu 
cum,  morning  and  evening,  and  repeat  it  once  a  week  for  four 
or  five  weeks. 

Eheumatism  with  Fever. — Aconite  if  there  is  high  fever, 
dry.  hot  skin,  thirst  and  redness  of  the  cheeks;  violent  shooting 
or  tearing  pains,  worse  at  night ;  redness,  or  shining  swelling  of 
the  part  affected ;  the  pains  are  aggravated  by  the  touch  ;  extreme 
initability  of  temper  ;  disposition  to  uncover  the  parts,  and 
relief  from  doing  it. 

Belladonna  when  the  pains  are  chiefly  in  the  joints,  shooting 
or  burningr;   worse  at  nis-ht  and  on  movement;  excessive  '-wel- 

X  30 


338  TREATMENT   OF   DISEASES. 

ling,  and  shining  redness  of  the  affected  parts  ;  fever  with  red- 
ness of  the  face ;  hot,  moist  skin,  and  thirst. 

Arnica.,  when  the  joints  feel  as  if  bruised  or  sprained ;  hard, 
red,  and  shining  swelling ;  sensation  as  if  the  limbs  were  resting 
on  some  hard  substance ;  feeling  as  if  lame,  and  a  crawling  in 
the  affected  part ;  the  pains  are  aggravated  by  the  least  motion ; 
great  fear  of  persons  approaching,  because  they  might  touch  the 
affected  part. 

Bryonia.,  if  there  are  shooting,  tearing  or  tensive  pains;  shifting 
pains  which  affect  the  muscles  rather  than  the  bones ;  red  and 
shining  swelling,  and  rigidity  of  the  parts  affected;  the  pains 
are  worse  at  night,  and  on  the  least  movement ;  profuse  perspi- 
ration, or  coldness  and  shivering;  much  heat,  with  headache  and 
derangement  of  the  stomach  ;  peevish  or  passionate  temper. 

Chamomilla^  when  there  are  drawing  or  tearing  pains,  with  a 
sensation  of  numbness  or  of  lameness  in  the  parts  affected;  the 
pains  are  aggravated  at  night;  fever  with  burning;  partial  heat 
preceded  by  chilliness;  hot  perspiration;  desire  to  remain  lying 
down  ;  great  agitation  and  tossing  about. 

Mercurins,  for  shooting,  tearing,  or  burning  pains,  which  are 
aggravated  at  night,  especially  towards  morning,  and  in  the 
warm  bed,  or  by  exp(^sure  to  damp  or  cold  air ;  puffy  swelling 
of  the  affected  parts ;  the  pains  seem  to  be  seated  in  the  bones 
or  joints ;  profuse  perspiration  without  relief.  Lachesis  may 
follow,  \{  Mercurius  is  not  sufficient. 

Hhiis,  against  tearing,  burning  or  wrenching  pains,  with  a 
sensaticm  of  weakness  and  crawling  in  the  affected  limb  ;  red 
and  shining  swelling  of  the  joints,  with  rigidity  and  shootings 
Avhen  touched  ;  the  pains  are  worse  during  rest,  and  in  cold  or 
damp  weather.  Ekus  is  often  suitable  after  Aconitum,  Arnica, 
or  Bryonia. 

Pulsatilla  is  serviceable  when  the  pains  are  aggravated  in  the 
evening,  or  at  night  in  bed,  in  a  warm  room,  or  on  changing  the 
position;  pains  which  pass  quickly  from  one  joint  to  another; 
sensation    of  numbness  in    the   parts   affected ;    the  pains   are 


CHAP.  XIV.  GENERAL   DISEASES.  339 

relieved  by  cool  air ;  for  patients  with  a  pale  face  and  disposed 
to  shiver  and  be  chilly. 

China  for  pains  which  are  aggravated  by  the  slightest  touch ; 
profuse  perspiration  ;  great  debility,  especially  from  weakening 
causes,  as  loss  of  blood  or  other  fluids. 

Hepar  and  Lachesis  are  frequently  serviceable  in  cases  after 
other  remedies  which  appeared  to  be  adapted  to  the  case,  but  did 
not  give  much  relief. 

When  the  disease  attacks  the  heart,  Aconitum,  Arsemctim, 
Belladonna^  Lachesis,  Pulsatilla,  Spigelia,  or  Sulphur,  selected 
according  to  symptoms. 

Rheumatism  without  Fever. — The  remedy  selected  should 
be  repeated  at  long  intervals — not  oftener  than  once  a  week. 

For  pains  which  are  excited  or  aggravated  by  the  slightest 
chill,  Aconiticm,  Bryonia,  Calcarea  carhonica.  Dulcamara,  Mercu- 
rius,  or  Sulphur.  When  the  attacks  are  excited  by  bad  weather, 
Calcarea  carhonica.  Dulcamara,  Rhus  toxicodendron,  Lycopodium., 
and  Hepar  sulphuris.  When  every  change  of  weather  causes  a 
relapse,  Calcarea  carhonica,  Silicea,  Sulphur,  Dulcamara,  Bhus^ 
and  Lachesis. 

Lumbago.  Pain  in  the  Loins  and  Back. — Aconitum  if  ac- 
companied by  much  fever. 

Arnica  if  caused  by  external  injury,  or  by  over-lifting,  &o. 

Bryonia,  when  the  pains  in  the  back  are  very  severe,  compel- 
ling the  patient  to  walk  in  a  stooping  posture ;  aggravated  by  the 
least  motion,  or  draught  of  air,  and  attended  with  a  general 
chilliness. 

Nux  vomica,  when  the  part  affected  feels  as  if  bruised,  or  as 
after  excessive  fatigue ;  and  when  motion,  and  particularly 
turning  in  bed  at  night  aggravates  the  pain  ;  also  when  accom- 
panied by  weakness,  constipation  and  irritable  temper. 

Rhus,  when  the  pains  are  similar  to  those  described  under 
Nux  vomica,  but  are  aggravated  by  rest. 

Belladonna  may  follow  Aconitum,  when  the  pains  are  deep- 
seated,  and  cause  a  heaviness,  gnawing,  or  stiffness. 


340  TREATMENT   OF   DISEASES. 

Pulsatilla^  when  tlie  pains  resemble  those  mentioned  under 
Nux  vomica^  especially  when  occurring  in  persons  of  a  mild 
disposition. 

Mercurius  against  pains  like  those  described  above,  but  which 
are  much  worse  at  night. 

Compare  also,  "  Piles." 

Sciatica — Is  like  lumbago ;  but  the  pain  is  more  in  the  re- 
gion of  the  hip-joint,  shooting  down  the  back  of  the  thigh,  and 
sometimes  extending  to  the  foot. 

Aconiium,  when  there  is  a  numbness  in  the  limb  or  the  toes. 

Golocynthis  is  particularly  useful  in  this  affection,  especially 
when  seated  in  the  right  hip,  or  if  excited  by  a  fit  of  anger  or 
indignation. 

Rhus,  when  the  pains  are  aggravated  by  rest ;  and  better  by 
motion. 

Nux  vomica^  when  the  pain  is  attended  by  a  sensation  of  stiff- 
ness or  contraction  of  the  limb;  also  when  torpor  with  chilliness 
is  felt  in  the  affected  parts. 

Ignatia,  against  cutting  pains,  particularly  on  moving  the 
limb. 

GhamomiUa,  when  the  pains  are  worse  at  night,  and  attended 
with  excessive  sensitiveness. 

Arsenicum,  in  cases  where  the  pains  are  acute  and  dragging, 
with  a  sensation  of  coldness  in  the  part  aS'ected ;  also  when  the 
pains  are  periodical.     It  is  also  useful  for  emaciated  persons. 

Crick  in  the  Neck. 

This  is  a  painful  rheumatic  affection  of  the  neck.  It  is  gene- 
rally occasioned  by  exposure  to  a  draught  of  air,  or  by  turning 
the  head  suddenly  round. 

Aconitum  or  Belladonna  may  effect  a  cure.  Should  they  be 
insufficeint  Cocculus,  Pulsatilla,  Rhus,  or  Bryonia,  will  mostly 
suffice. 

Cramp  in  the  Limbs. 

Cramp  in  the  calves  of  the  legs,  the  soles  of  the  feet,  and  in  other  parts 
of  the  body,  disturbs  in  sleep ;  sometimes  it  is  troublesome  during  the  day. 


CHAP.  XIV.  GENERAL    DISEASES.  841 

The  best  means  of  obtaining  relief  during  an  attack,  is  to  press  the  feet  firmly 
against  the  bedstead  or  the  wall,  or  to  press  and  squeeze  it  with  the  hands. 
Those  subject  to  cramps  in  the  legs  in  bed,  will  ofteu  escape  it  if  they  have 
their  bed  made  in  a  slight  incline,  so  that  the  whole  body  shall  slope  a  little 
downwards  towards  the  foot  of  the  bed. 

A  piece  of  cold  iron  held  to  the  place  of  the  cramp  will  often  give  relief. 

Veratrum,  taken  at  night,  before  going  to  bed,  for  two  nights, 
will  generally  overcome  the  predisposition  to  the  complaint. 
Should  it,  however,  be  insufficient,  take  Sulphur  or  Golocynthis 
in  the  same  way. 

Rhus  will  be  found  useful  in  cramps  which  occur  during  the 
day,  especially  while  sitting. 

Rhus  or  Syoscyamus  will  cure  cramps  that  come  on  while 
pulling  oft"  the  boots. 

Cuprum  for  cramps,  especially  at  night  in  bed,  affecting  chiefly 
the  soles  of  the  feet,  and  causing  the.  toes  to  be  drawn  in  differ- 
ent directions. 

Lycopodium,  in  cramps  occurring  principally  when  walking. 

Golocynthis,  for  the  stiffness  and  soreness  which  frequently  re- 
main after  an  attack. 

Epilepsy.    Epileptic  Convulsions. 

Epilepsy,  convulsions  of  the  whole  body  or  of  single  parts,  are  of  so  dififereut 
kinds  that  it  is  impossible  to  give  here  directions  for  curing  them  ;  a  homceo- 
pafhic  physician  should  ahuays  be  consulied  in  these  cases. 

If  the  cause  is  known,  that  will  bring  on  such  an  attack,  give  the  suitable 
remedies ;  Opium  is  not  alone  suitable,  if  they  are  caused  by  fright,  but  also 
if  occasioned  by  reproach,  violent  scolding  and  offence. 

Ignaiia  is  the  chief  remedy. 

An  attack  may  sometimes  be  obviated  by  smelling  Camphor  when  the  first 
symptom  of  its  approach  is  perceived. 

During  the  fit  nothing  else  must  be  done,  smelling  salts  or  liquids  and  such 
like  articles  do  no  good  whatever,  the  patients  are  only  troubled  and  weakened 
by  them.  Even  the  homoeopathic  remedies  should  not  be  given  during  the 
attack,  they  must  be  taken  when  the  worst  of  the  fit  is  over  or  has  entirely 
ceased. 

The  common  practice  amongst  old  school  physicians  of  bleeding  in  convul- 
sions, is  highly  injurious,  and  should  never  be  resorted  to,  as  the  almost 
invariable  tendency  of  this  practice  is  to  cause  an  increase  both  in  the  fre- 
quency and  violence  of  the  attacks. 

Night-Mare. 

Persons  subject  to  it  should  eat  but  little  in  the  evening,  and  take  light 
food  at  all  times ;  drink  but  little  wine,  beer  or  cofi'ee,     A  good  preventive  is 

30* 


342  TREATMENT   OF   DISEASES. 

to  bathe  every  evening ;  or  rubbing  the  face,  neck,  the  back  of  the  head,  the 
throat,  shoulders,  breast  and  abdomen  with  a  wet  towel ;  and  drink  a  glass 
of  cold  water  before  going  to  bed.  At  the  same  time  take  one  of  the  following 
remedies : 

Nux  vomica^  when  the  night-mare  is  caused  by  indulgence  in 
spirituous  liquors,  strong  beer,  too  high  living,  too  much  con- 
finement, if  the  patient  does  not  take  sufficient  exercise  in  the 
open  air. 

Aconitum,  when  it  occurs  in  children  and  women,  and  is  ac- 
companied by  heat,  thirst,  palpitation  of  the  heart,  determination 
of  bloo  1  to  the  head  or  chest,  oppressed  breathing,  nervousness, 
uneasiness,  &c.  This  remedy  is  also  useful  for  the  headache  and 
febrile  excitement  which  often  follows  the  attacks. 

Opium,  when  the  patient  is  lying  with  his  eyes  half  closed, 
snoring,  the  mouth  wide  open,  rattling  in  the  throat,  the  breath- 
ing irregular,  the  face  much  distorted,  and  covered  with  a  cold 
pei'spiration,  and  the  limbs  convulsed. 

Pulsatilla,  when  caused  by  rich  food,  cakes,  nuts,  &o. 

Sulphur  or  Silicea,  if  the  attacks  return  often. 

Sleeplessness. 

In  most  cases  when  not  the  result  of  a  disease,  sleeplessness  may  be 
attributed  to  the  manner  of  living.  Some  persons  cannot  eat  anything  in 
the  evening,  or  but  a  little,  without  suffering  from  loss  of  sleep.  Others 
cannot  sleep  soundly  without  they  have  eaten  something  before  going  to  bed. 
Exercise  in  the  open  air  is  one  of  the  best  preventives,  but  it  must  not  be 
taken  too  late  iu  the  evening,  or  it  will  have  an  effect  contrary  to  the  one 
desired.  When  exciting,  agreeable  events  are  the  cause,  take  Coffea  ;  when 
terrible  or  frightful  ones,  Opium;  when  agitating  ones,  Aconitum ;  when  the 
events  are  tormenting  and  cause  dejection,  L/natia,  &c.,  always  select  the 
remedy  according  to  the  cause,  see  "  EfiFects  of  the  Mind." 

The  most  common  causes  of  sleeplessness  are  the  use  of  coffee  and  tea,  for 
which  see  the  remedies,  (see  page  37.)  When  a  surfeit  is  the  cause,  give 
Pulsatilla ;  when  late  reading  or  singing  is  followed  by  wakefulness.  Nux 
vomica;  when  complaints  of  the  bowels  and  flatulency,  Chamomilla.  When 
various  figures  and  visions  appear  before  the  eyes,  and  prevent  sleeping, 
Ojmim ;  and  if  this  does  not  soon  prove  efficacious,  Belladonna.  Children 
are  generally  benefitted  by  Coffea;  old  people  by  Opium.  Sleep  is  sometimes 
brought  on  by  rubbing  the  forehead  with  the  flat  hand,  particularly  if  you 
determine  to  do  this  one  hundred  and  one  times;  if  it  does  no  good  do  not  get 
impatient,  but  commence  anew,  and  so  on.  Others  fall  to  sleep  when  they 
imagine  that  thej  are  writing  the  date  up  on  a  high,  very  high  wall  with  a 
long,  very  long  stick,  with  tall,  very  tall  letters.  Sleeplessness  is  frequently 
occasioned  by  some  disease,  to  which  refer  under  its  proper  head  for  thtf 
necessary  remedies,  or  consult  a  homoeopathic  physician. 


CIIAF.  XIV.  GENERAL   DISEASES.  343 

Dropsy. 

The  different  kinds  of  dropsy  should  always  be  treated  by  a 
homoeopathic  physician,  there  is  always  time  enough  to  do  so. 

Ague.    Chills  and  Fever.    Fever  and  Ague. 
Intermittent  Fever. 

This  disease  attacks  in  some  places  and  at  some  seasons  a  great  number  of 
persons ;  usually  where  much  moist  land  is  drying,  and  particularly  at  the 
commencement  of  dry  weather  in  the  spring  and  autumn.  If  you  can  remove 
at  such  times  from  these  places  do  so,  but  if  you  are  compelled  to  remain 
there,  pay  particular  attention  to  the  sleeping  room.  It  should  be  airy  and 
dry ;  you  should  open  the  windows  only  a  few  hours  in  the  middle  of  the  day; 
put  the  bed  not  against  a  wall,  but,  if  possible,  with  the  head  towards  the 
south  Individuals  who  are  compelled  to  sleep  in  damp  houses,  or  on  the 
lower  floor  of  houses  badly  situated,  may  be  in  some  measure  protected  by 
placing  a  layer  of  stone  coal,  broken  very  small,  under  their  beds. 

Advantage  may  also  be  derived  from  wearing  silk  shirts,  and  by  sleeping 
between  silk  sheets,  which  can  be  made  of  old  dresses.  Powdered  sulphur, 
worn  in  the  stockings  has  appeared  to  prevent  the  frequent  recurrence  of  the 
fever  in  some  cases,  it  may  be  used  until  we  know  of  a  better  preventive. 

Particular  attention  should  be  paid  to  the  manner  of  living;  eat  nothing 
that  lie?  bsavy  on  the  stomach;  avoid  pastry,  things  baked  or  roasted  with 
fat,  and  all  kinds  of  badly  dressed  food ,  eat  well  cooked  meat  and  vegetables, 
or  meat  which  has  been  slowly  and  properly  stewed  in  a  closed  vessel,  with 
much  gravy  without  any  seasoning  except  salt.  Whilst  the  fever  prevails, 
pies  are  very  injurious. 

Kaw  ham,  but  well  smoked  like  that  from  Westphalia,  with  black  pepper 
is  more  wholesome  than  when  it  has  been  rendered  indigestible  by  being 
overdone  by  frying.  Everything  acid  and  fat  should  be  avoided  at  such 
times ;  acids  are  good  iu  the  heat  of  summer;  fat  may  be  used  in  the  cold  of 
winter. 

During  the  cold  stage  let  the  patient  be  well  covered  with  blankets  which 
are  perfectly  dry;  if  you  have  a  silk  coverlet,  wrap  it  around  the  lower 
extremities  and  abdomen,  if  the  patient  finds  it  agreeable.  In  the  hot  stage, 
linen  or  muslin  makes  a  better  covering.  Frequent  wiping  with  a  warm,  wet 
cloth  also  gives  much  relief  in  this  stage.  During  the  sweating  stage,  the 
patient  should  not  be  covered  too  warmly;  and  after  it  is  over,  the  linen  and 
bed  should  be  changed.  The  linen  should  be  well  aired  and  warmed,  which 
is  best  done  by  a  healthy  person  rubbing  it  with  his  hands,  until  all  the  smell 
of  soap  is  gone  ;  in  fact,  this  should  be  done  with  all  linen  intended  for  the 
sick.  Those  who  have  not  a  sufficiency  of  linen,  will  do  well  to  lie  naked 
between  blankets  during  the  stage  of  perspiration,  and  to  put  on  the  shirt 
when  this  is  over. 

If  the  patient  complains  of  thirst,  give  him  as  much  cold  water  as  he  wishes, 
if  good  spring  water  can  be  had ;  if  the  water  is  bad,  give  toast  and  water,  it 
may  be  either  warm  or  cold  ;  water  containing  iron  is  particularly  injurious  in 
this  case.  If  he  prefers  it  warm  during  the  cold  stage,  give  him  toast  and 
water  or  mucilaginous  drinks,  such  as  barley  water  or  thin  oatmeal  gruel. 
When  the  patient  vomits  much,  and  feels  very  weak,  give  him  coffee  without 
milk.     During  the  hot  stage,  cold  water  is  the  best  drink  ;  but  if  the  patient 


844  TREATMENT   OF   DISEASES. 

is  very  ill  and  craves  acids,  lemonade  or  tamarind  water  may  be  given  m 
molerate  quantities.  In  the  sweating  stage  the  patient  should  drink  nothing 
but  cold  water. 

At  first,  intermittent  fever  causes  more  trouble,  than  afterwards,  when  it 
shows  itself  by  swelling  and  hardness  below  the  ribs,  generally  on  the  left 
side.  In  the  commencement  of  the  disease  it  is  dangerous  to  suppress  it  by 
china  or  quinine,  it  may  be  done  only  in  cases  of  great  necessity,  at  this  time 
it  can  be  cured  best  by  homoeopathic  remedies.  Later,  when  the  atUicks  are 
more  violent  and  the  patient  feels  well  in  the  intervals,  the  disease  is  more 
difhcult  to  cure,  and  in  these  cases  it  may  sometimes  be  suppressed  by  quinine, 
thiiugh  it  has  often  bad  consequences.  At  a  still  later  period,  when  the 
s])Ieen  and  liver  are  swollen,  take  care  not  to  use  much  quinine,  it  will  iu  most 
cases  only  hasten  dropsy  and  other  succeeding  diseases. 

For  all  fevers  which  occur  in  the  neighborhood  of  marshy 
places,  new  canals,  newly-broken  lands,  »Scc.,  take,  as  soon  as  you 
feel  unwell,  a  dose  of  China  ;  if  no  better  after  twelve  hours, 
take  Ipecacuanha ;  after  twelve  hours  China  again.  If  the 
fever  is  not  prevented  in  this  way,  select  one  of  the  following 
remedies. 

In  this,  as  in  all  other  fevers,  it  is  necessary  to  pay  more  atten- 
tion to  the  symptoms,  than  is  done  by  the  aloeopathists ;  observe, 
how  chill,  heat  and  sweat  follow  one  another,  when  the  patient 
is  thirsty,  and  what  he  feels  between  the  attacks. 

If  you  cannot  find  the  suitable  remedy,  give  a  dose  of  Ipecac- 
uanha  after  the  attack,  and  repeat  it  every  three  to  four  hours 
until  the  next  day  a  few^  hours  before  the  time  the  last  attack 
came  on  ;  if  no  attack  comes  on,  give  nothing  else  on  that  day, 
but  give  a  dose  on  the  following  day,  a  few  hours  before  the 
expected  attack.  If  it  returns,  watch  the  symptoms  and  give 
another  remedy.  If  you  have  selected  one,  give  it  first,  after 
the  attack  is  over;  and,  second,  repeat  it  a  few  hours  before  the 
time  the  next  attack  is  expected  to  return.  If  the  fever  had  been 
stopped,  but  returns  again,  give  first  a  remedy  for  the  cause 
of  the  relapse,  and  then  the  remedy,  after  the  administration  of 
which  it  stopped. 

Ipecacuanha  is  useful  in  most  cases  of  this  disease,  and  will 
frequently,  when  properly  s-elected,  of  itself  effect  a  cure.  When 
there  is  any  doubt  in  regard  to  the  choice  of  a  remedy,  especi- 
ally at  the  commencement  of  the  disease,  this  remedy  may  be 
administered.     The  following  symptoms,  however,  clearly  point 


CHAP.  XIV.  GENERAL   DISEASES.  345 

to  its  employment:  much  internal  chilliness,  which  is  increased 
by  external  warmth  ;  little  or  no  thirst  in  the  cold  stage,  but  a 
great  deal  in  the  hot  stage ;  clean  or  slightly  furred  tongue  ; 
nausea  and  vomiting,  and  oppression  of  the  chest  immediately 
before  the  attack,  or  during  the  cold  and  hot  stages. 

Arsenicum  when  the  different  stages  are  not  distinctly  marked, 
but  the  chilliness,  heat  and  fever  occur  simultaneously,  or  when 
there  are  frequent  changes  from  chilliness  to  heat,  and  vice  versa ; 
or  internal  chilliness  with  external  heat ;  also  when  the  paroxysm 
is  imperfectly  developed  ;  when  there  is  little  or  no  sweating, 
or  at  least  not  for  some  time  after  the  heat  has  subsided  ;  great 
prostration  of  strength  ;  burning  pains  in  the  stomach,  insup- 
portable pains  in  the  limbs,  or  all  over  the  body;  anxiety  and 
restlessness;  excessive  thirst;  drinking  often  but' little  at  a 
time;  uneasiness  about  the  heart,  or  oppression  and  spasms  of 
the  chest;  nausea  or  sickness  and  vomiting;  bitter  taste  in  the 
mouth  ;  violent  headache,  continuing  after  the  hot  stage;  buzzing 
in  the  ears  during  the  sweating.  All  the  sufferings  of  the 
patient,  as  the  headache,  pain  in  the  limb?  &;c.,  are  increased 
during  the  attack. 

Ghwa,  if  the  fit  is  preceded  by  nausea ;  voracious  appetite ; 
headache;  agitation;  palpitation  of  the  heart,  or  sneezing; 
thirst  during  the  sweating  stage,  sometimes  continuing  all  the 
time  between  the  attacks ;  chills  alternating  with  heat,  or  when 
the  heat  does  not  come  on  for  some  time  after  the  chills  have 
ceased;  sleeplessness  or  disturbed  sleep;  great  weakness  and 
sallow  complexion.  It  must  not  be  given  when  there  is  much 
thirst  during  the  cold  or  hot  stages.  This  remedy  is  valuable  in 
most  intermittents  in  marshy  places,  and  may  be  given  as  soon 
as  the  first  symptoms  show  themselves,  as  stated  above. 

Ferrum,  against  symptoms  resembling  the  preceding,  and  also 
when  there  is  determination  of  blood  to  the  head;  throbbing  in 
the  neck  and  temples;  swelling  around  the  eyes;  pressure  in 
the  stomach  and  abdomen,  particularly  after  eating ;  vomiting 
of  food;  tension  of  the  abdomen,  and  shortness  of  breath; 
weakness  of  the  limbs ;  hardness  and  fulness  in  one  or  both  sides 


846  TREATMENT   OF    DISEASES. 

of  the  abdomen,  close  under  the  short  ribs;  swelling  of  the  feet 
as  in  beginning  of  dropsy. 

Arnica^  when  the  cold  stage  generally  comes  on  early  in  the 
morning,  or  in  the  forenoon,  with  thirst  before  the  chill;  draw- 
ing and  pain  in  all  the  bones  preceding  the  fever;  the  patient 
feels  uncomfortable  in  every  position,  and  is  constantly  changing 
about;  dull  or  stupid;  perspiration  and  breath  offensive. 

Veratrum,  when  there  is  external  coldness  with  internal  heat; 
cold  clammy  sweat,  particularly  on  the  forehead,  and  general 
coldness  of  the  whole  body ;  or  chilliness  without  heat,  or  chil- 
liness and  heat  by  turns;  giddiness;  constipation  of  the  bowels, 
or  diarrhoea ;  sometimes  nausea,  or  vomiting,  and  pains  in  the 
back  and  loins. 

Sainbucus,  when  the  sweating  is  very  profuse,  and  continues 
until  another  fit  comes  on,  if  it  otherwise  suits  the  symptoms 
stated  under  Ipecacuanha,  Arsenicum,  China,  Ferrum,  Arnica  and 
Veratrum. 

Antimoniirm  crudum  is  indicated  when  the  tongue  is  very 
much  furred  ;  bitter  and  nauseous  taste ;  belching ;  sickness  of 
the  stomach;  vomiting;  little  or  no  thirst,  and  constipation  or 
diarrhoea.     (See  PuUaiilla) 

Bryonia,  for  similar  symptoms,  but  attended  with  much  thirst; 
or  the  heat  before  the  chills;  red  cheeks  in  the  cold  stage  ;  yawn- 
ing, and  stitches  in  the  side  during  the  heat ;  more  coldness  and 
chills  than  heat,  and  constipation  or  diarrhoea. 

Gina.  Vomiting  and  voracious  appetite  before,  during  or  after 
the  fever;  thirst  either  during  the  hot,  or  during  the  cold  stage; 
pale  face  during  the  cold  and  hot  stage  ;  constant  rubbing  of  the 
nose. 

Ignatia.  if  there  is  thirst  in  the  cold,  but  not  in  the  hot  stage; 
the  chilliness  lessened  by  external  warmth ;  heat  of  some  parts 
of  the  body,  with  coLlness  and  chill  of  others ;  heat  externally 
only;  pain  in  the  bowels  during  the  cold  stage,  followed  by 
heat,  with  debility  and  sleepiness. 

Rhus.  The  attacks  usually  come  on  in  the  after  part  of  the 
day,  and  consist  of  heat,  preceded  and  followed  by  chills ;  cold- 


CHAP.  XIV.  GENERAL   DISEASES.  347 

ness  of  some  parts  of  the  body,  and  heat  of  others ;  perspiration 
after  midnight,  or  towards  morning  ;  the  heat  accompanied  by  a 
rash ;  pain  in  the  bowels,  and  diarrhoea ;  pressure  at  the  pit  of 
the  stomach ;  palpitation  of  the  heart,  and  anxiety. 

Nux  vomica,  when  the  attack  commences  with  great  debility 
and  want  of  strength,  with  desire  to  lie  down  ;  giddiness,  with 
a  feeling  as  if  drunken ;  cramps  in  the  muscles  of  the  abdomen 
or  calves  of  the  legs;  stitches  in  the  sides;  alternate  heat  and 
chills,  or  heat  preceding  the  chills;  heat  externally  and  chilli- 
ness internally,  or  vice  versa ;  desire  to  be  constantly  covered, 
even  during  the  hot  and  the  sweating  stages;  external  warmth 
affords  no  relief;  heat  and  pain  in  the  head;  buzzing  in  the 
ears;  redness  of  the  cheeks;  thirst  and  anxiety  during  the  hot 
stage;  constipation. 

Ghamomilla  is  indicated  when  the  tongue  is  loaded  with  a 
white  or  yellow  coating  ;  nausea  and  bitter  vomiting ;  loathing 
of  food  ;  much  thirst  in  the  hot  stage,  and  even  in  the  sweating 
stage  ;  pressure  and  uneasiness  in  the  region  of  the  heart ;  more 
beat  and  perspiration  than  coldness ;  pain  in  the  right  groin,  and 
loose  watery  stools.  (Compare  Antimonium  crudum  and  Bri/- 
onia.) 

Pulsatilla,  particularly  when  the  slightest  disorder  of  the 
stomach  brings  on  a  relapse.  It  is  particularly  indicated  by 
absence  of  thirst  during  the  entire  fit,  or  thirst  only  during  the 
hot  stage;  heat  and  chilliness  at  the  same  time;  bitter  taste  in 
the  mouth;  bitter  or  sour  vomiting  of  phlegm  or  bile;  the 
attacks  come  on  in  the  afternoon  or  evening,  and  the  patient 
complains  of  chilliness  all  the  time. 

Antimonium  crudum.  Coated  tongue;  bitter  or  bad  taste, 
belching,  nausea,  vomiting,  little  or  no  thirst  (compare  Pulsa- 
tilla); constipation  or  diarrhoea.  After  Lachesis,  and  if  quinine 
had  been  taken. 

Capsicum.  Chilliness  attended  with  thirst,  followed  by  heat 
without  thirst,  or  thirst  only  during  the  hot  stage  ;  chills  violent 
and  long  continued ;  intense  burning,  both  internally  and  exter- 


348  TREATMENT   OF   DISEASES. 

nally ;  accumulation  of  phlegm  in  the  mouth  and  throat ,  slimy, 
burning  diarrhoea,  and  great  intolerance  of  noise. 

Goffea,  in  sensitive  persons,  who  suffer  greatly  from  nervous 
excitement,  even  though  the  fever  be  but  slight ;  paroxysms  of 
heat  and  thirst,  with  flushed  face,  followed  by  general  perspira- 
tion ;  the  thirst  frequently  continues  through  the  sweating  stage ; 
watery  diarrhoea. 

Cocculus,  in  agues  attended  with  cramp  or  spasms  of  the  sto- 
mach and  abdomen,  obstinate  constipation,  and  much  nervous 
excitement. 

Natrum  muriaticum  is  one  of  the  best  remedies  in  intermit- 
tents,  but  its  effect  must  be  waited  for  with  great  patience  for 
several  days ;  violent  pains  in  the  head  during  the  chilliness  and 
heat;  lengthy  chills;  dimness  of  vision,  and  partial  loss  ofcon- 
sciousness  during  the  hot  stage ;  impaired  sight,  even  after  the 
fever,  and  during  the  time  between  the  attacks;  chaps  and  fis- 
sures on  the  lips,  particularly  at  the  corners  of  the  mouth  ;  slight 
fever,  continuing  through  the  intermission.  (Compare  Arseni- 
cum and  Ignatia.) 

Lachesis,  when  the  attacks  come  on  in  the  afternoon  and  are 
accompanied  by  violent  pains  in  the  small  of  the  back  and  limbs; 
oppression  of  the  chest ;  violent  headache  with  red  face,  and 
continual  talking  during  the  hot  stage ;  or  internal  chilliness  and 
external  heat,  with  ashy  or  yellowish  color  of  the  face.  It  is 
particularly  serviceable  when  a  relapse  had  been  produced  by 
the  use  of  salads,  vinegar,  &c.,  or  after  it  had  been  suppressed 
by  quinine,  but  returns.  Pulsatilla  may  follow  or  alternate  with 
Lachesis  in  such  cases. 

Belladonna  has  been  found  useful  when  two  or  more  attacks 
occur  in  the  twenty -four  hours — the  cold  stage  slight,  and  the 
hot  stage  violent,  or  the  reverse,  violent  chill  and  slight  heat; 
great  sensitiveness,  and  inclination  to  shed  tears;  constipation, 
or  loose  and  scanty  chalk-like  stools ;  sometimes  attended  with 
violent  congestion  to  the  head,  a  red  face,  severe  pain  in  the 
head,  and  dulness  or  stupor. 

Hyoscyamus,  in  cases  similar  to  the  latter,  but  attended  by  a 


CHAP.  XIV.  GENERAL   DISEASES.  349 

dry  cough  at  night,  worse  when  lying  down,  and  better  when 
sitting  up. 

Nux  moschata.  Tongue  white-coated ;  only  in  the  heat  a  little 
thirst ;  sleep  during  the  cold  stage ;  if  external  warmth  is  plea- 
sant, but  the  open  air  disagreeable ;  if  all  parts,  upon  which  the 
patient  lies,  commence  soon  to  ache.  Also  if  the  spleen  is 
swollen  and  hard. 

Hepar,  if  a  cold  or  catarrh  affects  the  head  and  chest ;  bitter 
taste  in  the  mouth  ;  chilliness,  with  thirst,  followed  by  heat, 
sleepiness.     It  is  often  suitable  before  or  after  Belladonna. 

Glonoine  if  the  blood  rushes  to  the  head,  if  there  is  a  feeling 
as  if  a  waving  heat  was  rising  up  from  the  pit  of  the  stomach  to 
the  head;  beating  in  the  head  and  cold  sweat  in  the  face;  if  the 
attack  ends  with  a  warm  perspiration. 

IleTcurius,  in  quickly  alternating  chills  and  heat,  with  restless- 
ness ;  thirst ;  palpitation  of  the  heart ;  profuse,  offensive,  sour 
perspiration. 

Sulphur  when  the  attacks  come  on  in  the  after  part  of  the 
day,  with  evening  chills,  fever  during  the  night  and  sweating  in 
the  morning;  palpitation  of  the  heart;  also  if  an  eruption  of  the 
skin  has  been  checked. 

Calcarea,  when  there  are  alternate  chills  and  heat ;  external 
coldness  and  internal  heat ;  heat  in  the  head  and  face,  with 
coldness  of  the  limbs,  sometimes  cold  up  to  the  abdomen ; 
giddiness  ;  feeling  of  heaviness  in  the  head  and  limbs  ;  violent 
pains  in  the  small  of  the  back,  and  anxiety.  Compare  Sulphur 
and  Veratrum. 

Garho  vegetahilis,  when  the  attack  is  preceded  or  attended  by 
pains  in  the  teeth  and  limbs ;  thirst,  only  in  the  cold  stage,  with 
vertigo,  redness  of  the  face,  and  sick  stomach  during  the  hot 
stage. 

Aconitum,  when  the  chill  and  heat  are  both  violent ;  or  when 
they  appear  together ;  great  external  heat,  especially  of  the  face 
and  head,  and  acute  pains  in  the  side. 

Opium^  particularly  in  intermittents  in  aged  persons,  and 
children.     Drowsiness,  with  heavy  sleep,  loud  snoring,  with  tho 

31 


850  TREATMENT   OF   DISEASES. 

mouth  open  ;  congestion  of  blood  to  the  head,  with  red  and 
puffy  appearance  of  the  face  ;  and  jerking  of  the  limbs. 

In  marshy  places. — Arnica,  Arsenicum,  Carbo  vegetabilis,  China,  Cina,  Fer- 
rum,  Ipecacuanha,  Natrum  muriaticum,  Rhus,  Yeratrum. 

In  damp,  cold  seasons. — Calcarea,  Carbo  vegetabilis,  China,  Lachesis,  Nux 
nioschata,  Pulsatilla,  Rhus,  Sulphur,  Yeratrum. 

In  spring  and  summer. — Antimonium  crudum,  Arsenicum,  Belladonna,  Cap- 
sicum,  Carbo  vegetabilis,  Cina,  Ipecacuanha,  Lachesis,  Natrnm 
muriaticum,  Nux  vomica,  Pulsatilla,  Sulphur,  Veratrum. 

In  autumn. — Bryonia,  China,  Nux  vomica,  Rhus,  Yeratrum, 

Mismanaged,  by  large  doses  of  quinine. — Arnica,  Arsenicum,  Belladonna, 
Calcarea,  Capsicum,  Carbo  vegetabilis,  Cina,  Ferrum,  Ipecacuanha, 
Lachesis,  Mercurius,  Natrum  muriaticum,  Nux  moschata,  Nux 
vomica,  Pulsatilla,  Sulphur,  Veratrum. 

An  attack  everyday. — Aconitum,  Arsenicum,  Belladonna,  Bryonia,  Calcarea, 
Capsicum,  Carho  vegetabilis,  Chiria,  Ignaiia,  Ipecacuanha,  Lachesis, 
Natrum  muriaiicum,  Nux  vomica,  Puhatilla,  Rhus,  Sulphur,  Vera- 
trum. 

every  other  day. — Antimonium  crudum.  Arnica,  Arsenicum,  Bella- 

donna,  Bryonia,  Calcarea,  Capsicum,  Carho  vegetabilis,  Chamomilla, 
China,  Ipecacuanha,  Lachesis,  Natrum  muriaticum,  Nux  moschata, 
Nvx  vomica,  Pulsatilla,  Rhus,  Yeratrum. 

every  fourth  day. — Aconitum,  Arnica,  Arsenicum,  Carbo  vegetabilis, 

Ignatia,  Nux  moschata,  Pulsatilla,  Veratrum. 

every  two  vreeks. — Arsenicum. 

every  year. — Arsenicum,  Carbo  vegetabilis,  Lachesis. 

Coming  on  in  the  evening. — Aconitum,  Arnica,  Arsenicum,  Belladonna, 
Bryonia,  Calcarea,  Carbo  vegetabilis,  Ignatia,  Ipecacuanha,  Lachesis, 
Mercurius,  Nux  vomica,  Pulsatilla,  Rhus,  Sidphur. 

In  the  night. — Arsenicum,  Belladonna,   Calcarea,  Capsicum,  Carbo 

vegetabilis,  Chamomilla,  Hepar,  Mercurius,  Nux  vomica,  Pulsatilla, 
Rhus,  Sulphur,  Vei-airum. 

in  the  morning. — Arnica,  Arsenicum,  Belladonna,  Bryonia,  Calcarea, 

Carbo  vegetabilis,  Chamomilla,  China,  Hepar,  Lachesis,  Mercurius, 
Natrum  muriaticum,  Nux  vomica,  Sulphur,  Veratrum. 

Chill  and  coldness  only. — Bryonia,  Capsicum,  China,  Coffea,  Hyoscyamns, 
Ipecacuanha,  Nux  vomica,  Pulsatilla,  Veratrum. 

Chill  and  heat,  but  no  sweat. — Aconitum,  Arnica,  Arsenicum,  Belladonna, 
Bryonia,  Capsicum,  Carbo  vegetabilis,  Chamomilla,  Ignatia,  Ipecacu- 
anha, Mercurius,  Nttx  vomica,  Pulsatilla,  Rhus,  Sulphur. 


CHAP.  XIV.  GENERAL   -DISEASES.  3ol 

ChiU  and  sweat,  but  no  heat.— Arsenicum,  Bryonia,  PulmtUla,  Rhiis,  Sul- 
phur, Verali-um. 

Heat  only,  little  or  no  chill  and  sweat, — Aconitum,  Arsenicum,  Belladonna, 
Bryonia,  Calcarea,  Cofft^a,  Ipecacuanha,  Lachesis,  Nux  vomica, 
Opium,  Pulsatilla,  Sulphur,  Veratrum. 

Heat  and  sweat,  but  no  chill. — Aconitum,  Arsenicum,  Belladonna,  Bryonia, 
Capsicum,  Carbo  vegetabilis,  Chamomilla,  China,  Cina,  Coffea,  Ilepar, 
Ignatia,  Ipecacuanha,  Nux  vomica,  Opium,  Pulsatilla,  Rhus,  Vera- 
trum. 

Sweat  prevailing. — Aconitum,  Arsenicum,  Belladonna,  Bi-yonia,  Calcarea, 
Carbo  vegetabilis,  Cina,  Hepar,  Mercurius,  Natrum  muriaticum, 
Pulsatilla,  Rhus,  Samhiicus,  Sulphur,  Veratrum. 

Chill,  heat  amd  sweat,  aU  of  the  same  degree. — Aconitum,  Arsenicum, 
Belladonna,  Bryonia,  Capsicum,  Chamomilla,  China,  Cina,  Hepar, 
Ignatia,  Ipecacuanha,  Nux  vomica,  Pulsatilla,  Rhus,  Sulphur,  Vera^ 
irum. 

Chill,  then  heat. — Aconitum,  Arnica,  Bryonia,  Belladonna,  Capsicum,  Carbo 
vegetabilis,  China,  Cina,  Hepar,  Hyoscyamus,  Ignatia,  Ipecacuanha, 
Natrum  muriaticum,  Nnx  vomica,  Pulsatilla,  Rhus,  Sidphur,  Vera- 
trum. 

First  heat  then  chill. — Belladonna,  Bryonia,  Calccrea,  Capsicum,  Nux 
vomica,  Pulsatilla,  Sulphur. 

Heat  and  chlU,  alternating. — Arsenicum,  Belladonna,  Bryonia,  Calcarea, 
China,  Mercurius,  Natrum  muriaticum,  Nux  vomica,  Sulphur,  Vera- 
trum. 

Heat  and  chUl  at  the  same  time. — Aconitum,  Arsenicum,  Belladonna,  Bryo- 
nia, Calcarea,  Chamomilla,  China,  lynatia.  Ipecacuanha,  Mercurius, 
Nux  vomica,  Pulsatilla,  Rhus,  Sulphur,  Veratrum. 

heat  externally,  chill  internally. — Aconite,  Arsenicum,  Belladonna, 

Calcarea,  Coffea,  Ignatia,  Lachesis,  Nux  vomica.  Sulphur. 

. heat  internally,  chill  externally. — Arnica,  Bryonia,  China,  Mercu- 
rius, Pulsatilla,  Rhus,  Veratrum. 

Sweat  coming  on  with  the  chill.— Arsenicum,  Calcarea,  Nux  vomica,  Pul- 
satilla, Sulphur. 

ChiU  then  sweat,  without  heat  —Bryonia,  Capsicum,  Rhus,  Veratrum. 

Sweat  and  heat  together.— Aconitum,  Belladonna,  Bryonia,  Capsicum, 
Chamomilla,  China,  Cina,  Eepar,  Ignatia,  Ipecacuanha.  Mercurius, 
Nux  vomica.  Opium,  Rhus,  Veratrum. 

Sweat  after  the  hea.t.-~ Arseninim,  Bryonia,  Carbo  vegetabilis,  Chamomilla, 
China,  Ciua,  Coffea,  Hepar,  lynatia,  Ipecacuanha,  Opium,  Pulsatilla, 
Rhus,  Sulphur,  Veratrum. 


352  TREATMENT   OF   DISEASES. 

Thirst  before  the  attack. — Arnica,  China,  Pulsatilla,  Sulphur. 

■  during  the  chill. — Aconitum,  Antimonium  crudum,  Arnica,  Arsenicum, 

Bryonia,  Calcarea,  Capsicum,  Carbo  vegetahilis,  Chamomilla,  China, 
Cina,  Hepar.  Ignatia,  Ipecacuanha,  Nat  rum  muriaticum,  Niix  vomica, 
lihus,  Sulphur,  Veratrum. 

• after  the  chill,  but  before  the  heat. — Arsenicum,  China,  Pulsatilla, 

■.  and  heat  together. — Aconitum,  Belladonna,  Bryonia,  Calcarea,  Cap. 

sicum,  Chamomilla,  China,  Hepar,  Hyoscyamus,  Lachesis,  Mercurius, 
Natrum  muriaticum,  Nux  vomica,  Pulsatilla,  Rhus,  Sulphur,  Vera- 
trum. 

No  thirst  during  the  heat. — Arsenicum,  Belladonna,  Capsicum,  Carbo  vege- 
tabilis,  China,  Ignatia,  Ipecacuanha,  Lachesis,  Mercurius,  Nux 
moschata,  Nux  vomica,  Pulsatilla,  Rhus,  Sambucus,  Sulphur,  Yera« 
trum. 

Thirst  after  the  heat. — China,  Nux  vomica,  Opium,  Pulsatilla. 

during  the  sweat. — Arsenicum,  Chamomilla,  China,  Hepar,  Mercu 

rius,  Natrum  muriaticum,  Pulsatilla,  Rhus,  Veratrum, 

• after  the  sweat. — Nux  vomica. 

Complaints  accompanying  Intermittent  Fever. 

Pains  in  the  limbs. —  Arsenicum,  China,  Natrum  muriaticum,  Nux  vomica, 

Rhus,  Veratrum. 
Great  weakness.  —  Arsenicum,    China,   Ferrum,   Hyoscyamus,    Lachesis, 

Natrum  muriaticum,  Nux  vomica,  Rhus. 
Dropsical  symptoms. — Arsenicum,  China,  Ferrum. 
Drowsiness  and  sleepiness  —Belladonna,  Carbo  vegetabilis,  Hyoscyamus, 

Lachesis,  Opium,  Pulsatilla,  Rhus, 
Sleep  during  the  chill. — Natrum  muriaticum,  Nux  moschata. 

during  the  heat. — Ignatia. 

after  the  chill. — Arsenicum. 

Great  nervous  and  mental  excitement. — Aconitum,  Arsenicum,  Belladonna, 

Bryonia,  Chamomilla,  CofTea,  Ignatia,  Nux  vomica,  Pulsatilla. 
Rush  of  blood  to  the  head  (with  giddiness,  delirium,  stupor.) — Aconitum, 

Belladonna,   Bryonia,    Carbo    vegetabilis,    Glonoine,   Hyoscyamus, 

Lachesis,  Nux  vomica,  Opium,  Pulsatilla,  Rhus. 
Violent  headache. — Arnica,  Arsenicum,   Belladonna,  China,  Glonoine,  Ig- 
natia. Lachesis,  Nttnim  mmiaticum,  Nux  vomica,  Pulsatilla,  Rhus. 
Deranged  stomach. — Antimonium  crudum,  Arsenicum,  Belladonna,  Bryonia; 

Chamumilla,  China,  Ignatia,  Ipecacuanha,  Natrum  muriaticum,  Kux 

vomica,  Pulsatilla,  Sulphur. 
Vomiting. — Antimonium  crudum,  Arsenicum,  Bryonia,  Chini,  Cina,  Ignatia 

Nux  vomica,  Pulsatilla. 


CHAP.  XIV.  GENERAL   DISEASES.  353 

Vomiting  during  the  chill. — Bryonia,  Ignatia. 

after  the  chill. — Arsenicum,  Nux  vomica. 

. during  the  heat. — Nux  vomica. 

of  bUe — Bryonia,  Ignatia,  Nux  vomica. 

of  mucus. — China,  Ignatia,  Pulsatilla. 

of  victuals. — Ignatia. 

Tongue,  coated  white. — Antimonium  crudum,  Bryonia,  Nux  moschata. 

sticky,  dry  during  the  chUl. — Bryonia. 

Diarrhoea. — Arnica  Arsenicum,  Chamomilla,  China,  Ipecuacanha,  Pulsatilla, 
Rhus,  Veratrum. 

Constipation. — Arsenicum,  Bryonia,  Calcarea,  Mercurius,  Nux  vomica. 

Spleen,  hardness  of. — Nux  moschata. 

pain  In. — Capsicum. 

Liver,  pains  and  swelling  of — Arsenicum,  China,  Mercurius,  Nux  vomica. 

Catarrhal  symptoms  (cough,  &c.) — Aconitum,  Belladonna,  Bryonia,  China, 
Hepar,  Lachesis,  Mercurius,  Nux  vomica,  Pulsatilla,  Rhus,  Sulphur. 

Oppression  of  the  chest  and  difficulty  of  breatliing. — Aconitum,  Antimo- 
nium crudum,  Arnica,  Arsenicum,  Bryonia,  China,  Ferrum,  Hepar, 
Ipecacuanha,  Lachesis,  Nux  vomica,  Pulsatilla,  Sulphur, 

The  above  accompanying  complaints  are  present  particularly: 

Before  the  attack. — Arnica,  Arsenicum,  Belladonna,  Calcarea  carbonica, 
Carhn  ve  ^efabilis,  China,  Cina,  Ignatia,  Ipecacvanha,  Nafnon  vmria- 
ticum,  Nux  vomica.  Puis  itilla,  ]Nius,  Sulphur. 

During  the  chill. — Arnica,  Arsenicum,  Bri/onia,  Calcarea,  Gipftionn,  Carbo 
vegetabilis,  China,  Cina,  H-^par,  Ljnatia,  I  pecacinniiia.  Lachesis, 
Mercurius,  Natrum  muriaticum,  Nux  moschata,  Xnx  v  •mica,  FidsU' 
tilla,  Rhus,  Verntrum. 

During  the  heat. — Aconitum,  Arsenicum,  Bryonia,  Belladonna,  Calcarea, 
Capsicum,  Carbo  vegetabilis,  Ckamomilla,  China,  Coffea,  Hyoscy- 
anms,  Ignatia,  Ipecacuanha,  Lachesis,  Mercurius,  Natrum  muria- 
ticum, Nux  vomica,  Opium,  F}ilsatilla,  Rhus,  Sulphur,  Veratrum, 

During  the  sweat. — Aconitum,  Arsenicum,  Bryonia,  Chamomilla,  Lachesis, 
Mercurius,  Nux  vomica,  Opium,  Pulsatilla,  Rhus,  Sulphur,  Vera- 
trum, 

After  the  attack. — Arsenicum,  Bryonia,  Carbo  vegetabilis,  Coffea,  Ignatia, 
Lachesis,  Nux  vomica,  Pulsatilla,  Rhus. 

Pulse,  Intermittent. — Arsenicum,  China,  Lachesis,  Mercurius,  Natrum  muri- 
aticum,  Nux  vomica.  Opium, 

apparently  wanting.  —  Aconitum,    Arsenicum,   Carbo   vegetabilis, 

Ilyoscvamus,  Opium,  Veratrum. 


354  TREATMENT   OF   DISEASES. 

Pulse  hard. — Aconitum,  Belladonna,  Bryonia,  Hyoscyaraus,  Nux  Tomies, 

Sulphur. 
email. — Aconitum,  Arsenicum,  Belladonna,  Hyoscyamus,  Lachesis, 

Mercurius,  Nux  vomica.  Opium,  Veratrum. 
slow. — Belladonna,  China,  Mercurius,  Opium,  Pulsatilla,  Rhus,  Sara 

bucus,  Veratrum. 
hurried. — Aconitum,  Arsenicum,  Belladonna,  Bryonia,  Hyoscyamus, 

Mercurius,  Pulsatilla,  Sulphur. 
Irregular. —  Aconitum,   Antimonium   crudum,   Arsenicum,    Bryonia, 

China,  Hepar,  Lachesis,  Mercurius,  Natrum  muriaticum,  Rhus. 
. full. — Aconitum,  Belladonna,  Bryonia,  Ferrum,  Hyoscyamus,  Lache8is, 

Nux  vomica.  Opium,  Pulsatilla,  Sambucus,  Sulphur. 

• soft. — Carbo  vegetabilis,  China,  Veratrum. 

trembling. — Arsenicum,  Mercurius,  Rhus. 

Congestive   or  Pernicious   Fever.     Remittent  or 
Bilious  Fever. 

These  fevers,  like  intermittent  fevers,  are  caused  by  a  poison- 
ous air,  called  miasma.  In  the  commencement  they  may  be 
treated  as  stated  under  Fever  and  Ague.  But  they  should  always 
be  treated  by  a  homoeopathic  physician.  If  the  blood  rushes  to 
the  head,  causing  very  soon  loss  of  consciousness,  Glonoine 
should  give  relief;  seldom  Aconitum,  and  still  more  seldom 
Belladonna,  according  to  the  symptoms  stated  under  "  Conges 
tion  to  the  Head,  and  Headache." 

Yellow-Fever. 

A-.  sure  as  the  cholera  will  never  pass  a  boundary  line — snl- 
phur<^tted  hydrogen — or  spread  among  people  with  sulphur  in 
their  stockings,  so  sure  can  it  be  said  to  Yellow  Fever:  "  Thus 
far,  and  no  farther!"  But  being  a  very  different  disease,  it  must 
be  done  in  an  entirely  different  way ;  sulphur  would  only  pro- 
mote the  evil. 

Just  as  I  recommended  Fear,  Care  and  Sulphur  in  Asiatic 
Cholera,  so  I  recommend  Fright,  Bun  and  Charcoal  in  Yellow 
Ftsver. 

Fright,  because  it  would  make  people  run  away.     Every  one 


CHAP.  XTV.  GEXERAL    DISEASES.  355 

who  can  pr^ssibly  _->  aw-Aj  ought  to  do  so;  the  sooner  the  better; 
even  the  sick  should  be  sccattered,  never  crowded. 

The  Yellow  Fever  has  always  one  or  more  central  points 
whence  it  spreads  around,  and  is  always  communicated  by  inha- 
lation. The  substan'ce  carrying  the  disease  is  of  a  gaseous  nature, 
and,  it  acts  on  others  not  only  more  or  less  according  to  their 
state  of  susceptibility,  exactly  as  it  is  in  all  infective  diseases, 
but  this  infective  gaseous  substance  must  be  in  a  certain  state 
of  condensation  ;  it  acts  not  if  much  diluted,  mixed  with  a 
large  body  of  air. 

In  this  respect  the  cause  and  carrier  of  Yellow  Fever,  the 
miasma,  as  it  is  called,  differs  from  others ;  it  is  only  similar  to  the 
miasma  from  swamps,  causing  intermittent  fever,  but  this  latter 
is  confined  to  certain  localities;  it  cannot  be  carried  about  from 
place  to  place,  it  cannot  be  spread  by  the  sick  and  dead. 

Single  cases  of  Yellow  Fever,  scattered  about  particularly  in 
a  pure  atmosphere,  in  an  air  higher,  cooler  and  more  in  motion, 
will  never  spread  the  disease,  and  have  never  done  so.  There- 
fore, the  sooner  and  wider  apart  the  sick  are  scattered  about,  the 
sooner  the  whole  epidemic  will  be  over.  If  this  scattering  about 
is  done  before  a  "  panic,"  as  this  disease  of  the  mind  is  called, 
spreads  about,  it  will  not  be  opposed  by  ignorant,  barbarous 
neighbors,  as  has  been  the  case.  To  scatter  the  sick  is  like 
scattering  a  fire,  which  will  soon  die  out  if  there  is  no  accumu- 
lat'on  of  combustible  matter.  To  recommend  people  to  go  away 
from  the  focus  is  like  removing  combustible  matter  from  a  store 
on  fire,  which  ought  to  be  done  in  time  and  regular  order  by  an 
organized  body.  All  those  who  are  necessary  to  oversee  and 
form  this  organized  body  should  stay,  all  others  go  away. 

I  admire  with  all  my  heart  the  grandeur  of  mind,  shown 
by  the  members  of  the  Howard  Association  in  facing  the 
terrible  enemy,  assisting  the  sick  ;  the  clergymen  who  stood 
firmly  on  their  post  to  console  in  that  reign  of  terror;  the  states- 
men who  took  the  helm  to  prevent  disorder  and  confusion  ;  all 
of  them  sacrificing  their  own  comforts,  health,  and  risking  their 
lives.     I  admire  all  but  one  class— the  physicians  of  the  old 


356  TREATMENT   OF    DISEASES. 

school.  Although  it  was,  as  a  matter  of  course,  their  plain  duty 
to  stay,  it  would  have  been  much  better  for  the  sick,  if  they  all 
had  lun  away,  following  the  example  of  their  illustrious  pre- 
ceptor, Galen,  who,  as  soon  as  an  epidemic  broke  out,  mounted 
his  mule,  and  run  away  with  his  valuable  boxes  ;  his  slave  run- 
ning after  him  as  fast  as  only  a  slave  can,  who  is  running  away. 
What  a  display  of  wisdom  and  deep  learning,  to  give  calomel 
for  no  other  reason  than  that  the  patients  looked  yellow,  and  be- 
cause the  liver  ought  to  have  something  to  do  with  it;  for  calomel 
acts,  according  to  their  most  stupid  superstition,  on  the  liver  I 

As  if  every  one,  who  recovered,  would  not  certainly  have 
done  so  mucli  sooner  and  better  without  it. 

To  give  quinine  and  fill  the  madhouses  with  idiots  and  fools, 
the  almshouses  with  the  blind,  the  deaf  and  the  lame;  all  made 
artificially  a  burden  to  society  by  this  same  drug! 

One  of  the  most  renowned  physicians  of  the  South  came  to 
Norfolk  for  the  express  purpose  of  advising  his  brother  physi- 
cians to  give  nothing,  no  medicine  whatever.  He  was  truly  a 
wise  man,  and  an  honest  one. 

The  next  thing  in  be  done  is  to  destroy  the  miasma  on  all 
points  of  generation,  in  each  f  )cus.  The  stagnant  swamps  along 
shore,  the  wharves,  canals,  &;c.,  are  out  of  the  question  in  times 
of  danger,  and  ought  not  to  be  touched  ;  stirring  them  up  would 
oiily  increase  the  poison  in  the  air;  what  should  have  been  done 
in  the  fall  and  winter  cannot  be  done  in  summer.  But  every 
ship  with  stinking  bilge-water,  or  which  had  Yellow  Fever  or 
similar  diseases  on  board,  ought  to  be  disinfected.  It  was  one 
of  the  greatest  absurdities  of  the  old  school  to  suppose  that 
chloride  of  lime,  which  destroyed  some  other,  entirely  different, 
miasmas,  would  destroy  that  of  Yellow  Fever. 

It  is  nothing  but  a  remnant  of  the  old  superstitious  times, 
when  doctors  were  hunting  for  one  antidote  to  all  poisons,  and 
when  they  tried  to  find  a  one  remedy  for  all  diseases.  Every 
substance  which  is  intended  to  destroy  another,  must  have  a 
chemical  affinity  for  it.  A  few  experiments  would  have  con- 
vinced any  one  that  chlorine  mixes  with  the  miasma  without 


CHAP,  XIV.  GENERAL   DISEASES.  357 

changing  it  in  the  least.     It  is  the  same  with  all  other  "  fumiga- 
tions," even  the  most  ridiculous,  fires  in  the  streets ! 

But  fire  produces  a  substance  which,  as  chemistry  has  known 
for  nearly  one  hundred  years,  has  the  most  peculiar  property 
of  absorbing  gases, — it  is  the  common  charcoal.  Experiments 
will  prove  to  any  one,  what  astonishing  quantities  of  gases  will 
be  readily  absorbed  by  a  mere  handful  of  charcoal — the  more 
if  it  is  crushed  or  coarsely  powdered,  as  this  gives  it  a  laro-er 
surface.  And,  what  is  to  be  particularly  remarked,  gases  of  that 
class  to  which  the  miasma  of  Yellow  Fever  no  doubt  belongs,  are 
by  preference,  as  it  were,  and  in  larger  quantities,  absorbed  by 
charcoal.  A  few  bucketfuls  of  it  will  disinfect  a  whole  ship,  if 
thrown  down  into  the  bilge  water,  repeated,  if  necessary,  until 
there  is  no  longer  any  bad  smell. 

This  has  never  been  done,  and  why  not?  The  little  black 
particles  of  charcoal  are  rather  difficult  to  get  out  again ! 
That's  all.  The  same  objection  to  it  we  will  find  in  hospitals 
and  private  sick  rooms. 

My  first  proposition,  since  1853,*  when  I  had  the  first  chance 
of  observing  for  myself  cases  of  Yellow  Fever,  was  to  send  ship- 
loads of  charcoal  to  all  infected  places,  to  disinfect  all  suspicious 
vessels  with  it  thoroughly,  to  have  it  in  every  sick-room,  to  put 
it  by  haudsful  on  all  and  everything  which  passes  from  a  Yellow 
Fever  patient,  what  he  vomits,  his  urine,  his  stools,  at  once  before 
they  are  carried  away ;  his  sheets  and  bed-clothes  before  they 
are  washed.  This  should  be  done  in  all  and  every  case,  and  the 
washerwomen  would  then  not  die  of  the  disease,  as  they  have 
done,  even  in  Philadelphia,  in  1853.  But  it  would,  of  course, 
require  a  great  deal  more  water  and  work  to  remove  all  the  little 
black  spots  from  the  linen. 

Above  all  others,  it  should  be  the  most  peremptory  rule  to 
cover  all  corpses,  without  exception,  and  fill  up  the  coffins  with 
it,  as  the  corpses  produce  the  poisonous  gas,  and  spread  the  dis- 
ease more  than  anything  else.     By  comparing  the  maps  of  the 


*  Printed  in  "  The  HomcEopatbic  News,"  No.  7,  October,  1855. 


358  TREATMENT  OF   DISEASES. 

towns,  and  the  local  history  of  the  epidemics,  I  found  that  the 
course  of  the  fever  was  not  so  much  in  the  direction  of  the  pre- 
vailing winds,  sometimes  even  against  them,  but  always  towards 
the  burying-grounds,  aad  principally  along  the  streets  through 
which  the  dead  were  carried, — the  fever  followed  the  dead. 

As  this  use  of  charcoal  should  be  ordered  and  enforced  by 
the  authorities — for  the  general  application  only  can  produce  a 
perceptible  result — let  the  following  experiment  be  made  in  a 
public  place,  which  will  convince  every  one  of  the  great  useful- 
ness of  charcoal : 

Put  a  dead  rat  into  a  small  wooden  box,  upon  a  layer  of  char- 
coal about  three  inches  thick,  fill  the  box  so  that  there  are  about 
six  inches  of  charcoal  over  the  rat.  Every  one  knows  what  a 
terrible  stench  will  come  in  due  time  from  a  dead  rat.  Place 
this  box  upon  the  main  table  of  the  council  room,  and  let  every 
one  of  the  rulers  of  the  town  take  a  smell  at  it  every  day.  If 
they  should  perceive  more  than  the  common  cellar  air,  they  have 
only  to  change  the  upper  layer  of  charcoal,  and  all  the  smell 
will  have  gone  in  a  few  minutes.  The  rat  may  rot  in  a  parlor 
without  anybody  perceiving  it.  In  a  few  weeks  nothing  but 
skin,  hair,  sinews  atid  bones  will  be  left. 

If  a  grave  had  been  filled  with  charcoal,  at  least  three  to  foui 
feet  high,  it  might  be  opened  afterwards  without  any  danger.  A 
corpse,  in  a  hermetically  closed  coffin,  surrounded  with  charcoal 
two  feet  thick,  might  be  transported  without  danger  to  any 
place. 

But  "let  the  dead  bury  the  dead;"  the  most  important  result 
of  such  a  rule,  strictly  carried  out,  would  be  the  cessation  of  the 
fever  in  a  very  short  time.  All  this,  however,  is  independent 
of  the  treatment  of  the  sick ;  but  if,  in  addition  to  it,  all  cases 
were  treated  homoeopathically,  the  good  results  would  in  a  single 
week  be  ])erceived  by  all.  It  happens,  not  accidentally  of 
course,  but  according  to  a  law  of  nature,  that  what  is  the  true 
chemical  antidote,  is  also  the  best  preventive  and  remedy,  if 
taken  internally,  or  the  chemical  is  analogous  to  the  dynamical. 
It  happens,  that  among  the  sj'^mptoms  of  Carho  vegetabilis,  as 


CHAP.  XIV.  GENERAL   DISEASES.  359 

collected  by  Hahnemann,  we  find  a  true  and  most  striking  simi- 
larity of  the  same  group  of  symptoms  which  characterize  Yellow 
Fever,  It  must  be  left  to  the  scientific  part  of  the  physicians  to 
examine  this  thesis,  it  is  not  for  everybody. 

The  best  preventive  is  Carho  vegetahilis  in  homoeopathic 
preparations.  The  degree  of  attenuation,  and  the  repetition,  do 
not  seem  to  be  matters  of  much  importance ;  time  and  careful 
observations  will  show.  But  if  given  at  the  very  first,  it  may 
be  sufficient.  One  dose  of  the  highest  dilution  has  been  suffi- 
cient in  several  cases.  A  patient  who  had  already,  on  the  first 
day,  bleeding  of  the  gums,  got  well  by  taking  the  third  tritura- 
tion every  six  to  eight  hours,  for  a  few  days. 

During  the  state  of  the  greatest  alarm,  fatigue  and  exhaustion, 
manv  homoeopathic  physicians  have  given  Aconltum  and  Bella- 
donna, even  in  alternation  ;  I  cannot  find  a  sufficient  similarity 
neither  with  the  one  nor  the  other.  Still  the  reports  are  a  great 
deal  more  favorable  than  those  of  the  alloeopathists  would  be, 
because  the  latter  always  kill  more  than  they  cure. 

If  the  homoeopathic  physicians  were  governed,  from  the  very 
commencement  of  the  epidemic,  by  the  law  of  similarity,  and 
find,  according  to  Hahnemann's  rule  in  the  Organon,  §  100-102, 
the  medicines  most  corresponding  with  the  character  of  the  epi- 
demic, which  may  change  and  will  differ  in  different  places,  at 
different  seasons  and  years,  the  results  ought  to  be  by  far  more 
favorable  and  striking  than  they  have  been  hitherto. 

Every  one  who  cannot  observe  Hahnemann's  rule,  should 
commence  with  Carho  vegetahilis,  which  will  act  as  a  basis,  after 
which  all  other  medicines  have  a  better  effect.  If  alarming 
symptoms  appear  sometimes  after  it,  another  medicine  may  be 
given. 

Aconitum,  for  a  dry  skin,  hot  fever,  with  great  agony  and 
restlessness. 

Belladonna,  rush  of  blood  to  the  head  or  chest,  when  moving 
increases  the  symptoms. 

Lachesis  (or,  according  to  several  reports,  Crotalus),  in  the  low, 
sinking  state. 


360  TREATMENT   OF   DISEASES. 

Arnica^  if  tlie  patient  lies  in  a  kind  of  stupor,  with  bad  sraell 
from  the  mouth;  if  he  answers,  when  asked  how  he  was,  that 
he  feels  well. 

Arsenicum,  for  great  agony  and  burning  pains;  if  not  suffi- 
cient, Cantharides  in  water. 

Fainting.    Swooning. 

When  fainting  occnrs,  it  generally  produces  such  alarm  in  those  present, 
that  all  kinds  of  experiments,  useless,  disagreeable,  and  even  injurious,  are 
resorted  to.  If  too  large  doses  of  spirits  of  hartshorn  are  administered,  the 
consequences  may  be  serious.  Remember,  the  first  thing  to  be  avoided  in  all 
such  cases  is  hurry.  Loosen  the  clothing,  if  tight,  about  the  neck,  chest  and 
abdomen;  place  the  patient  in  a  comfortable  situation, and  remove  all  objects 
which,  when  consciousness  returns,  might  make  a  disagreeable  impression. 
ISprinkle  some  cold  water  from  a  feather  gently  upon  his  face,  apply  a  little 
water  to  the  neck,  the  back  part  of  the  head,  and  to  the  pit  of  the  stomach. 
If  this  does  not  produce  any  effect,  and  if  the  patient  becomes  cold,  let  him 
Binell  spirits  of  camphor. 

When  the  cause  is  known,  the  remedy  may  be  selected 
accordingly;  for  instance,  if  it  arise  from  fright,  Coffea,  Opium 
and  Acanitiim  ;  from  loss  of  blood,  or  other  debilitating  causes, 
wine,  but  only  a  few  drops  should  be  given,  and  afterwards 
China;  when  produced  by  sudden  mental  emotions,  Ignatia  or 
Chamomilla  ;  after  loss  of  sleep,  Cocculus.  When  slight  pains 
cause  fainting,  give  Hepar  ;  when  violent  pain,  Aconihim,  Coffea 
or  Chamomilla;  when  the  pain  preceding  the  fainting  had  almost 
driven  the  patient  to  distraction,  give  Veratrum;  the  same 
remedy  will  answer  when  debility  and  fainting  are  produced  by 
the  least  exercise ;  when  it  occurs  in  the  morning,  N'ux  vomica 
is  frequently  of  service,  particularly  in  those  who  use  ardent 
spirits  immoderately,  or  those  who  have  injured  themselves  by 
severe  mental  application.  Nux  moschata,  if  it  occurs  after 
exertion  or  taking  cold  in  damp  weather,  in  persons  who  used 
to  complain  of  great  weakness  from  the  slightest  exertion,  par- 
ticularly if,  while  fainting,  they  have  palpitation  of  the  heart, 
and  are  afterwards  very  sleepy.  Carbo  vegetahilis,  in  cases  where 
too  much  mercury  has  been  taken  ;  when  it  comes  on  after  din- 
ner, Nux  vomica  generally  removes  it,  or  should  this  fail.  Phos- 
phoric acid.     If  it  is  preceded  by  giddiness,  give  Chamomilla  or 


CHAP,  XIV,  GENERAL   DISEASES.  361 

Separ,  according  to  the  symptoms.      If  preceded  by  nausea, 
Ipecacuanha. 

These  remedies  should  not  be  administered  more  than  twice, 
fi'om  five  to  ten  minutes  apart;  if  no  improvement  takes  place 
after  the  second  time,  select  another  medicine.  When  the  relief 
is  only  temporary,  repeat  the  dose  as  soon  as  the  patient  becomes 
worse  again.  When  vomiting  occurs  after  recovery  frum  faint- 
ing, do  not  interfere  with  it  at  all;  when  the  patient  falls  asleep 
after  it,  do  not  disturb  him ;  rest  will  refresh  him. 

Apparent  Death. 

In  regard  to  instances  of  apparent  death,  the  same  error  is 
usually  committed  as  in  cases  of  fainting.  Either  too  much  is 
done,  or  too  many  things  are  tried  at  once,  or  nothing  is  done. 
There  may  be  apparent  death  after  a  violent  external  injury, 
when  life  is  only  suspended.  But  appearance  may  become 
reality,  by  being  taken  for  it  too  soon.  There  are  many  cases 
of  sudden  death;  but  ap[)arent  death  is  quite  common  too,  par- 
ticularly in  cases  of  females  who  are  pregnant,  or  in  childbed. 
We  know  of  but  one  sure  sign  of  death,  that  is,  when  internal 
dissolution  has  proceeded  so  far  as  to  become  perceptible  exter- 
nally. Whenever  there  is  the  least  uncertainty,  and  in  all  sud- 
den cases,  and  when  putrefaction  does  not  commence  as  sud- 
denly, nothing  at  least  ought  to  be  done  that  may  cause  actual 
death,  and  the  interment  should  be  postponed  until  the  third 
day;  on  the  third  day  changes  always  appear  on  the  body,  which 
are  decisive;  all  further  proceedings  should  be  arrested  until 
they  make  their  appearance,  though  a  week  should  elapse.  In 
all  cases  of  apparent  death,  particularly  from  external  violence, 
the  bodies  should  be  treated  with  the  greatest  care;  if  they  are 
treated  as  the  dead  generally  are,  viz:  laid  out  on  a  board  in  a 
cold  room,  perhaps  covered  with  ice,  they  will  certainly  be  dead 
very  soon,  if  they  were  nut  so  before. 

32 


362  TREATMENT  OF   DISEASES. 

Apparent  Death  from  Hunger. 

Cases  of  persons,  who  from  want  of  food  have  been  so  much 
weakened  that  they  fliint  or  are  apparently  dead,  are  by  no 
means  so  very  rare.  They  may  and  do  happen  on  all  our  coasts 
after  shipwiecks;  in  the  mountains,  when  people  h)se  their  way, 
or  in  snow-storms,  &c.  All  such  persons  must  of  course  have 
food,  as  the  first  thing,  but  the  longer  they  have  been  without 
it,  the  less  of  it  they  should  have  at  once.  Eating  too  much 
and  too  fast  may  kill  them.  In  the  worst  cases,  give  repeated 
injections  of  warm  milk;  when  they  show  signs  of  returning  life, 
give  the  milk  to  drink,  at  first  a  few  drops,  afterwards  moie  and 
more ;  if  they  want  more,  give  a  few  spoonfuls  of  good  toast- 
water,  broih;  and  some  little  wine.  When  a  sound  sleep  sue* 
ceeds,  cover  them  up  warm,  and  not  until  after  that  sleep,  give 
them  more  solid  food- in  small  quantities.  The  following  excel- 
lent broth  f(jr  such  and  similar  patients,  is  highly  to  be  recom- 
mended. Take  one  pound  of  good  beef,  free  it  from  fat  and 
bones,  cut  it  up  in  small  pieces,  pour  over  it  one  pint  of  cold 
water,  let  it  stand  several  hours,  stirring  it  occasionally,  then 
let  it  simmer  over  a  slow  fire,  strain  it  through  a  hair  sieve  or 
coarse  cloth,  adding  enough  water  to  make  it  a  pint,  and  season 
it  with  a  little  salt.  Of  this  broth  give  at  first  a  teaspoonful  at 
a  time,  and  afterwards  more. 

Apparent  Death  from  a  Fall. 

Place  the  sufferer  carefully  on  a  bed,  with  his  head  elevated, 
and  in  a  place  where  he  may  remain  quiet,  put  a  few  globules 
of  Arnica  dissolved  in  water  on  his  tongue,  and  wait  quietly 
until  a  physician  comes  to  see  if  there  are  any  fractures,  and 
whether  there  are  still  signs  of  life.  It  is  a  common  practice  to 
bleed  in  these  cases.  It  may  sometimes  hasten  resuscitation. 
But  if  they  recover,  they  would  have  done  so  without  being 
bled.  When  the  patient  has  lost  much  blood  from  wounds,  oi 
from  injudicious  bleeding,  give  China^  and  a  little  wine,  a  few 
drops  at  a  time,  and  afterwards  Arnica. 


CHAP.  XIV.  GENERAL   DISEASES.  363 

Apparent  Death  from  SuflFocation,  Hanging, 
Pressure,  Choking. 

Remove  all  tight  clothing.  Place  the  patient  in  a  proper 
position,  with  the  head  and  neck  rather  high,  the  neck  beino- 
quite  easy,  neither  bent  forward  nor  upward,  as  is  frequently 
the  case  when  the  head  alone  is  too  much  elevated.  Then  com- 
mence rubbing  gently  but  steadily  with  warm  cloths,  and  give 
immediately  an  injection  of  about  ten  globules  of  Opium  dis- 
solved in  half  a  pint  of  water,  and  injected  slowly.  This  may 
be  repeated  every  quarter  of  an  hour,  whilst  the  limbs  are  being 
rubbed,  principally  on  the  inside.  From  time  to  time  hold  a 
looking-glass  before  the  mouth  and  nose,  to  see  if  the  breath 
dims  it ;  open  the  eyes  to  see  if  the  pupils  contract.  Put  warm 
cloths,  or  hot  stones  wrapped  in  cloths,  to  the  feet,  between  the 
thighs,  to  the  neck,  and  the  sides.  If  in  an  hour  or  two  no 
change  is  produced,  take  a  bitter  almond,  pound  it  fine,  and 
mix  it  in  a  pint  of  water,  put  a  few  drops  into  the  mouth,  or 
into  the  nose,  and  give  the  rest  in  injections.  Opium  or  Aconitum 
are  generally  most  suitable  for  the  removal  of  the  symptoms 
which  appear  after  restoration  is  established. 

The  following  method  is  often  successful :  a  person  in  perfect 
health  should  pass  his  open  hand  from  the  head  of  the  patient 
to  his  feet,  keeping  his  hand  at  a  distance  of  about  an  inch  or 
two  from  the  body  of  the  patient;  when  arrived  at  the  feet  the 
hand  should  be  returned  quickly  to  the  head  of  the  patient, 
keeping  it  at  a  great  distance  from  his  body  in  doing  so,  and 
this  should  be  continued  in  the  same  order  for  some  time. 
Do  not  mind  such  would-be-wise  people,  who  presume  to  ridicule 
such  a  proceeding,  because  their  wisdom  cannot  explain  how  it 
can  act.  Ask  them  what  causes  cholera,  intermittent  fever, 
&G.?  They  will  tell  you  that  it  is  a  "something"  in  the  air,  a 
poison,  or  miasma,  and  so  forth.  Nobody  has  ever  been  able  to 
take  hold  of  this  "  something,"  bottle  it  up,  or  show  its  existence 
by  the  most  delicate  chemical  tests;  the  only  test  is  the  human 
body.     All  we   know  is,  that   people   when   exposed   to   this 


I 


364  TREATMENT   OF   DISEASES. 

"something"  will  sometimes  certainly  get  the  cholera,  fever  and 
ague,  &c.,  and  we  know,  too,  that  persons  have  been  restored  to 
life  bj  the  above  described  process  ;  but  how  this  "something" 
in  the  air  or  the  passes  of  the  hand  act  we  cannot  tell,  we  must 
be  satisfied  with  the  facts. 

Apparent  Death  from  Drowning. 

A  person  apparently  drowned  should  be  undressed,  the  mouth 
and  the  throat  be  cleaned,  the  upper  part  of  the  body  and  head 
be  bent  forward  for  a  few  seconds,  that  the  water,  if  possible, 
may  run  out,  and  then  placed  on  a  warm  bed,  wrapped  in 
warm  blankets,  or  in  warm  sand  or  ashes ;  in  summer,  place 
the  patient,  wrapped  in  a  blanket,  if  possible,  in  the  sun,  with 
his  face  turned  towards  it,  and  the  head  slightly  covered ;  then 
give  injections,  and  commence  rubbing  the  limbs  with  warm 
cloths,  and  continue  this  for  hours.  The  passing  the  hand  over 
the  body,  as  described  above,  may  be  tried.  Bleeding  is  folly. 
K  the  rubbing  and  injections  produce  no  effect,  put  Tartar  emetie  M 
upon  the  tongue,  and  give  the  same  remedy — as  much  of  the  ■ 
third  trituration  as  will  lie  on  the  point  of  a  penknife,  dissolved 
in  half  a  pint  of  water — in  injections,  and  continue  the  rubbing. 
Persons  ^ffho  had  been  under  water  for  half  an  hour,  have  been 
restored  to  life  by  continued  and  unwearied  exertions. 

Appraent  Death  from  being  Frozen. 

Where  animation  has  been  suspended  by  freezing,  it  may  be 
restored  in  some  cases  even  when  it  has  ceased  for  several  days. 
Great  care  should  be  taken  in  moving  persons  in  this  condition, 
so  that  no  part  of  the  body  may  be  injured.  Let  them  be  taken 
from  the  open  air  under  cover,  but  consider  that  even  a  very 
moderate  heat  may  kill  them ;  a  cold  room  or  a  barn  where 
there  is  not  the  least  draught,  is  the  best  place.  Cover  them 
entirely  with  snow,  face  and  all,  leaving  merely  the  mouth  and 
the  nostrils  free,  in  such  a  manner  that  every  part  of  the  body 
is  covered  with  several  inches  of  it.  Place  them  in  such  a  posi- 
tion that  the  melted  snow  may  run  off  easily,  and  be  replaced 


p 


CHAP.  XIV.  GENERAL   DISEASES.  365 

by  fresh.     When  thei'e  is  no  miow  put  iliuni   into  a  coM  bath 
tlie  temperature  of  whicli  has  been  redueed  by  ice.     li"  ice  is 
attached  to  the  body  or  to  the  clotlies,  remove  it. 

In  this  manner  thaw  the  body  until  avevy  part  becomes  per- 
fectly pliable,  then  gradually  remove  the  clothing,  if  necessary, 
by  cutting  it  from  the  body.  As  the  limbs  become  soft  and 
pliable,  commence  rubbing  them  with  snow,  and  continue  it 
until  they  become  red;  then  place  the  patient  on  a  dry  bed,  and 
rub  him  with  cold  flannel  cloths,  stockings,  old  pieces  of  felt,  &c. 

If  signs  of  returning  life  do  not  soon  manifest  themselves 
under  this  treatment,  small  injections  containing  camphor — a 
drop  of  spirit  of  camphor  to  half  a  tumblerful  of  water — may  be 
administered  every  quarter  or  half  hour.  If  the  patient  begins 
to  revive  during  the  friction,  or  after  taking  the  camphor,  and 
gives  symptoms  of  returning  animation,  administer  small  injec- 
tions of  lukewarm  coffee  without  milk, —  and  as  soon  as  he  can 
swallow,  give  him  some  coffee — a  teaspoonful  at  a  time. 

It  frequently  takes  hours  to  restore  life,  but  we  ought  not  to 
be  sparing  of  labor.  For  the  violent  pains  which  are  felt  some- 
times after  the  sufferer  has  revived,  give  Carho  vegetabilis  every 
five  to  six  hours,  and  if  this  proves  unavailing,  Arsenicum.  If 
heat  or  stinging  pains  are  felt  in  the  head,  a  few  doses  of 
Aconitum  will  be  of  service.  If  the  patient  craves  wine  or 
brandy,  a  small  quantity  may  be  given  to  him. 

A  person  who  has  recovered  from  freezing,  must  avoid  the 
heat  of  the  stove  and  of  the  fire  for  a  considerable  time,  as 
serious  maladies,  particularly  disease  of  the  bones,  are  liable  to 
result  therefrom.     See  "  Frostbite." 

Apparent  Death  from  Lightning. 

A  person  rendered  insensible  by  a  stroke  of  lightning,  should 
be  at  once  placed  into  a  freshly  made  opening  in  the  ground,  in 
a  position  half  sitting,  half  lying,  with  the  face  against  the  sun, 
and  be  covered  all  over  with  fresh  ground.  As  soon  as  he 
moves  the  eyes,  give  internally  a  few  globules  of  Nux  vomica, 
by  placing  them  upon  the  tongue,  and  repeat  the  dose  in  half  an 

o2* 


866  TREATMENT   OF   DISEASES. 

hour,  if  there  is  no  sign  of  returning  consciousness.  The  same 
remedy  may  also  be  given  in  injection,  by  dissolving  from  fif- 
teen to  twenty  globules  in  half  a  pint  of  water. 

The  complaints  which  frequently  follow  restoration,  may 
generally  be  removed  by  Sulphur  and  Nux  vomica.  For  blind- 
ness, Phosphorus. 

If  you  cannot  place  the  patient  in  the  ground,  put  him  in  a 
current  of  cool,  fresh  air,  and  dash  plenty  of  cold  water  over  his 
face,  neck  and  chest,  and  use  Nux  vomica  as  above. 

Apparent  Death  from  Mental  Emotions,  Bad  Gases, 
and  other  causes. 

Look  under  the  different  heads  of  the  causes.  A  case  of 
apparent  death  from  violent  mortification,  was  restored  by  Gha- 
momilla.  After  suppressed  grief,  give  Ignatia.  After  fright  and 
violent  anger,  Aconitum.  After  grief  caused  by  disappointed 
love,  where  apparent  death  fallowed  after  a  violent  pain  in  the 
heart,  Lachesis  restored  the  patient. 

In  cases  of  sudden,  apparent  death  after  violent  mental  emo- 
tions, you  may,  besides  the  remedies  stated  before,  give  Apium 
virus  or  Olonoine,  if  the  face  is  pale.  Apium  virus,  if  it  com- 
menced like  fainting,  with  such  a  weakness  that  the  patient  had 
.to  sit  down  on  the  spot,  or  fell  down;  sometimes  with  vomiting; 
particularly  if  it  occurred  after  great  mental  or  bodily  pain. 
Olonoine,  if  the  patient  put  his  hand  suddenly  upon  his  heart  or 
head  ;  afterwards  cold  sweat. 

Opium  is  better  if  the  face  is  blue,  as  stated  under  "  Apparent 
Death  from  Suffocation." 

Apoplexy. 

Against  the  premonitory  symptoms  of  this  complaint,  such  as 
great  inclination  to  sleep;  general  feeling  of  dulness  or  heavi- 
ness; dimness  before  the  eyes;  buzzing  in  the  ears ;  hardness 
of  hearing;  heavy,  profound  sleep,  and  snoring  ;  frequent  yawn- 
in'',  and  fatigue  after  the  least  exertion;  acute  pains  in  the  head; 
vertigo  or  giddiness;  fainting;  irritability  of  temper;  loss  of 


CHAP.  XIV.  GENERAL   DISEASES.  3^7 

memory ;  forgetfulness  of  words  or  things ;  acuteness  of  vision 
or  double  visior^ ;  difficulty  of  swallowing ;  numbness,  or  prick- 
ing sensation  in  the  extremities;  congestion  of  blood  to  the 
head,  with  beating  of  the  arteries  about  the  neck;  red  face,  and 
quick,  full  pulse,  &g.  ;  see  "  Determination  of  Blood  to  the 
Head." 

In  cases  of  apoplexy,  the  common  practice  is  bleeding ;  the 
revival  of  the  patient  may  be  hastened  by  it,  but,  at  the  same 
time,  his  death  may  be  hastened  too.  Open  tiie  eyes  of  the 
patient, — if  the  pupils  are  very  small,  or  if  one  of  them  is  very 
small  and  the  other  very  large,  do  not  bleed ;  if  both  are  very 
large,  or  one  large  and  the  other  of  natural  size,  the  patient  may 
be  bled,  although  a  skilful  homoeopathic  physician  will  restore 
the  patient  without  bleeding. 

ir  the  pulse  is  slow  and  full,  face  red  or  pale,  give  Opium; 
put  a  few  globules  of  it  upon  the  tongue  of  the  patient,  and  use 
some  globules,  dissolved  in  a  pint  of  water,  as  an  injection ;  if 
the  pulse  is  very  weak,  give  Lachesis  in  the  same  way. 

In  other  respects,  select  a  remedy  according  to  the  cause,  and 
particularly  according  to  the  symptoms  which  preceded  the  fit. 
If  it  was  preceded  by  nausea  or  inclination  to  vomit,  or  if  the 
patient  vomits  when  he  recovers,  give  Tartar  emetic,  3rd  trit., 
MS  much  as  will  lie  upon  the  point  of  a  knife,  dissolved  in  half 
a  tumblerful  of  water, — a  teaspoonful  every  ten  to  fifteen  min- 
utes ;  if  not  better  in  half  an  hour,  use  the  same  solution  as  an 
injection.  Select,  according  to  the  symptoms,  from  the  follow- 
ing :  Aconitum.,  Veratrum,  Pulsatilla^  Phosphoric  acid,  Nux 
vomica,  Arsenicum,  Antimonium  crudum,  Hyoscyamus. 

The  limits  of  this  work  will  not  admit  of  a  more  extended 
notice  of  the  disorder ;  nor,  indeed,  is  that  necessary,  as  the 
treatment  should  in  all  cases  be  under  the  management  of  a 
homoeopathic  physician. 


368  TREATMENl    OF    DISEASES. 


Diphtheria,  Diphtheritis. 


This  disease  lias  been  observed  and  described  bj  medical 
writers  of  all  nations  under  diflerent  names.  Its  history  liaa 
indeed  been  traced  back  as  far  as  Homer.  In  the  sixteenth 
century  it  was  epidemic  in  IloUand,  and  was  described  by  P. 
Forrest.  Towards  the  end  of  that  century  it  raged  in  Spain, 
killing  a  great  number  by  sutfocation ;  whence  it  was  called 
garotilla.  Since  then  it  has  been  observed  everj'whcre,  more  oi 
less  violent;  and  in  this  country  within  a  few  years. 

It  consists  of  a  croupous  or  plastic  exudation  from  the  mucous 
membrane  of  the  fauces,  mouth  and  nostrils ;  commencing  with 
febrile  sensations,  chilliness  and  some  difKculty  in  swallowing.  ■ 
The  fauces  look  inilanied;  of  a  dark  mahogany  color;  and  soon 
become  covered  (usually  after  the  first  or  second  day)  with  a 
dirty-grayish,  or  gray-yellowish  exudation  of  various  thickness; 
commencing  in  spots  and  patches,  generally  on  the  tonsils  at 
first ;  spreading  over  the  soft  palate  and  fauces  into  the  pos- 
terior nares  and  cavity  of  the  nose,  and  in  some  cases  into  the 
oesophagus  and  larynx.  AVhen  this  skinny  exudation  is  loos- 
ened and  removed  b}-  external  means,  it  shows  a  merely  in- 
flanied-looking,  sometimes  an  excoriated  or  ulcerated  surface 
of  the  mucous  membrane  beneath,  which  soon  is  covered  again 
b}^  the  same  skinny  mass.  "Where  it  loosens  itself  and  is  thrown 
ott"  spontaneously,  it  generally  does  not  renew  itself.  In  mal- 
ignant cases  this  psemlo-mcmbrane  dissolves  into  an  ill-looking 
ichorous  mass,  under  which  the  uiucous  membrane  appears  in 
decayed  shreds  or  dark-colored  crusts,  emitting  a  uiost  oii'en- 
sive  odor.  Mostly  there  co-exists  a  swelling  of  the  submaxil- 
lar}' and  parotid  glands  and  of  the  lymphatics.  The  great 
prostration  of  all  the  vital  power,  which  accompanies  it  from 
the  first,  is  quite  characteristic  of  this  complaint. 

As  to  its  causes,  all  writers  agree  that  it  is  the  effect  of  some 
speniji^  poison,  the  nature  of  which  we  know  just  as  little  as 
that  of  cholera,  typhus,  or  yellow  fever;  and  as  all  persons  are 


CHAP.  XIV.  DIPHTHERIA.  369 

not  attacked  by  it,  it  requires  a  predisposition  of  the  organism 
to  it.  We  do  not  know,  however,  in  what  this  consists.  Be- 
sides, the  atmospheric  influences  upon  its  spreading  are  not 
clearly  understood ;  it  seems,  however  that  it  is  rather  more 
prevalent  in  spring  and  summer  than  in  winter,  and  more  in 
damp,  rainy  weather  than  in  a  uniformly  dry  temperature. 

Diphteria  is  not  contagious^  like  the  eruptive  fevers,  (scarla- 
tina, measles,  small-pox;)  there  is  no  evidence  that  it  ever  was 
conveyed  hy  fomites;  but  we  can  easily  conceive  of  an  epidemic 
cause,  which  may  bring  about  more  or  less  cotamination  of 
the  atmosphere,  thus  rendering  susceptible  persons  liable  to 
contract  the  disease  from  breathing  the  atmosphere;  or  it  may 
be  propagated  by  an  immediate  inoculation  of  a  portion  of  the 
vitiated  secretions  to  an  absorbent  surface  of  another  person, 
provided  this  person  aftbrd  a  congenial  soil  in  which  the  spe- 
cific cause  may  develop  its  specific  eifects. 

1.  S^/mptoms  of  the  'fauces  are  soreness  and  redness  of  the 
throat.  The  latter  symptom  may  be  confined  to  the  uvula, 
velum  palati,  one  or  both  tonsils;  or  it  may  extend  all  over  the 
fauces.  The  redness  may  be  of  a  dusky  hue;  mottled,  or  of  a 
light  mahogany  or  pinkish  color.  The  parts  are  generally 
swollen  ;  the  tonsils  to  such  a  degree  as  even  to  interfere  with 
swallowing.  Usually  after  the  first  or  second  day  we  observe 
some  small  whitish-gray  spots  on  one  or  both  tonsils,  which 
either  soon  coalesce  or  stay  separated  through  the  whole  mor- 
bid process;  or  there  may  be  a  uniform  deposit  of  this  whitish- 
gray  exudation  over  the  entire  throat.  At  first  it  is  easily 
detached  from  the  mucous  membrane,  but  is  soon  replaced  by 
a  new  deposit ;  later,  however,  it  becomes  thicker,  more  tena- 
cious, leather-like ;  and  adheres  more  firmly  to  the  subjacent 
tissue,  leaving,  if  it  be  detached,  a  bleeding  surface  behind  it. 
On  or  about  the  sixth  day  it  usually  dislodges  itself  sponta- 
neously, and  may  then  hang  down  in  shiv^s  and  strings  into 
the  pharynx,  or  from  the  posterior  nares  down  into  the  fauces; 
after  which,  no  new  formation  usually  takes  place.  In  malig- 
'nant  cases  this  pseudo-membrane  dissolves,  as  stated  above, 
Z 


370  TREATMENT   OE   DISEASES. 

into  a  bad-looking,  ichorous  mass,  under  whicli  the  mucous 
membrane  appears  in  decaj^ed  shreds  or  dark-colored  crusts, 
and  it  is  not  unfrequent  that  whole  parts  of  the  soft  palate 
become  thorouglj'^  destroyed.  As  regards  the  nature  of  this 
membrane,  it  is  believed  to  be  more  of  an  albuminous,  whilst 
that  of  croup  is  more  of  a  fibrinous  character. 

Diphtheritic  membranes  may  be  found  also  in  other  local- 
ities, as  in  the  vagina ;  or  on  cutaneous  surfaces,  when  wounded, 
ulcerated  or  abraded. 

2.  Si/mptoms  which  accompany  this  affection  of  the  throat  are  : 
Difficulty  in  sicalloiciiig^  especially  cold  drinks ;  this  symptom, 
however,  may  be  altogether  wanting,  even  in  very  severe  cases. 
Difficulty  in  breathivg^  especially  when  the  tonsils  are  much 
swollen,  or  when  the  nose  is  filled  with  exudation  and  dis- 
charge. A  peculia.r  odor  of  breath,  which  is  more  easily  smelled 
than  described ;  in  malignant  cases  it  becomes  almost  unbear- 
able, scenting  the  whole  room. 

3.  Nascd  symptoms.  Thin  yellowish-white  mucous  discharge, 
at  first  scanty,  but  becoming  profuse,  acrid,  excoriating.  Epis- 
taxis — unfavorable.  The  deposition  of  the  pseudo-membrane 
may  commence  in  the  nostrils  before  any  is  seen  in  the  fauces. 

4.  Symptoms  of  the  larynx.  As  the  disease  progresses,  we 
may  observe  hoarseness,  total  loss  of  voice,  cough,  croup,  (in 
all  its  d:eadful  utterances,)  sutiocating spells;  livid  complexion ; 
•embarrassed,  sawing  respiration,  up  to  the  final  fatal  issue. 

5.  Glandular  affections.  The  tonsils  are  almost  always  con- 
siderably swollen,  and  upon  them  the  pseudo-membrane  makes, 
as  a  rule,  its  first  appearance.  But  the  parotid  and  submaxil- 
lary glatids  swell  also,  and  all  the  surrounding  lymphatics 
enlarge. 

■€.  Brain  symptoms.  In  light  cases,  the  cerebral  functions 
remain  undisturbed ;  in  severe  cases  we  find  that  the  mental 
faculties  rather  brighten  up,  except  where  there  is  a  hindrance 
to  the  free  circulation  of  blood  to  and  from  the  brain  by  those 
abnormal  swellings  about  the  neck,  under  which  circumstances 
the  patient  sinks  gradually  into  drowsiness  and  stupor. 


CHAP.  XIV.  DIPHTHERIA.  371 

7.  Gastric  symptoms.  Mostly  entire  loss  of  appetite,  great 
thirst ;  sometimes  vomiting  of  ingesta ;  diarrhoea.  Bat  in  a 
number  of  cases  there  is  neither  vomiting  nor  diarrhoea. 

8.  Eruption.  Rash  on  the  skin,  resembling  sometimes  meas- 
les, at  other  times  scarlet  fever ;  it  breaks  forth  sometimes  at 
the  beginning,  sometimes  at  a  later  period ;  in  a  number  of 
cases  it  does  not  appear  at  all ;  it  may  last  only  a  few  hours, 
or  remain  a  longer  time,  or  reappear  after  having  been  absent 
for  several  days.  It  differs  entirely  from  scarlet  fever  in  that, 
it  is  never  followed  by  desquamation  of  the  skin. 

9.  Hem-orrhage,  either  from  the  nose,  mouth,  or  fauces.  A 
bad  sign ;  and  wheti  occurring  as  a  sort  of  purpura,  in  the 
worst  forms  of  the  disease,  a  fatal  one. 

10.  Urinary  symptoms.  Presence  of  albumen  is  not  constant ; 
in  some  cases  only  at  a  later  period ;  in  bad  cases  it  probably 
exists  from  first  to  last.  The  microscope  shows  casts  of  urini- 
ferous  tubuli,  by  which  the  so-called  BrighCs  disease  is  charac- 
terized. 

11.  Febrile  spmptoms  vary  much  in  intensity.  In  a  number 
of  cases  the  height  of  the  fever  seems  not  at  all  proportioned 
to  the  severity  of  the  attack,  whilst  in  other  cases  it  is  ushered 
in  from  the  beginning  with  violent  fever  heat,  even  unto  con- 
vulsions. Corresponding  to  this,  we  find  in  many  cases  the 
pulse  frequent,  but  weak ;  whilst  in  other  cases  it  is  quick, 
hard,  and  wiry.  Very  often  the  disease  commences  with  chilly 
feelings,  which  are  followed  by  heat.  Mostly  this  heat  abates 
in  the  morning,  and  increases  again  towards  evening  and 
throusrh  the  nio;ht;  in  severe  cases  the  fever  is  continuous. 
Its  remission  is  scarcely  ever  marked  by  sensible  perspiration. 

12.  Great,  characteristic  debility.  Characteristic,  I  call  it, 
because  the  disease  is  marked  by  this  symptom,  fully  devel- 
oped from  the  outset.  Before  any  loss  of  vital  fluids  has 
occurred  in  any  way,  the  patient  is  at  once  stricken  down  by 
a  feeling  of  great  prostration,  showing  that  the  disorder  attacks 
the  vital  forces  themselves. 


372  TREATMENT   OF   DISEASES. 

Complications  are  said  to  be  scarlet  fever,  small  pox,  rheum- 
atism, pleuro-pneumonia,  and  venous  congestion. 
Its  sequelce  are : 

1.  Ancesthesia  of  the  nerves  of  sensation.  There  are  observa- 
tions wliich  show  that  it  has  taken  months  after  the  attack 
was  over,  before  the  patient  recovered  the  normal  actions  of 
these  nerves.  It  sometimes  leaves  all  the  cutaneous  nerves  in 
such  a  state  that  external  pressure  is  little  observed ;  some- 
times this  want  of  sensibility  is  limited  to  one  finger.  Trous- 
seau mentions  the  loss  of  sensibility  in  the  velum  palati,  which 
was  characterized  by  an  inability  to  talk  clearly  and  to  swal- 
low. It  is  quite  remarkable  that  this  anfesthesia  of  the  nerves 
of  sensation  sometimes  will  be  interrupted  by  spells  of  hyper- 
sesthesia,  so  that  even  the  slightest  external  impressions  become 
painful  and  unberable.  Also  the  nerves  of  special  sense  may 
thus  remain  impaired  for  a  long  time.  Most  frequently  we 
find  the  nerves  of  the  lower  senses  afiected ;  taste,  smell,  and 
touch  ;  although  the  higher  senses — sight  and  hearing — are 
not  excepted.  But  all  these  forms  of  anaesthesia  are  less  per- 
sistent than  similar  affections  after  scarlet  fever,  where  lesions 
of  the  organs  of  sight  or  hearing  are  of  a  much  graver  nature. 

2.  Akinesia.  The  motory  nerves  may  also  be  affected,  such 
as  those  of  the  arms,  lower  limbs,  tongue,  or  pharynx.  There 
may  be  either  hemiplegia  or  paraplegia.  In  still  other  cases 
this  paralytic  state  may  be  combined  with  hyperkinesia,  mani- 
festing itself  as  trembling  of  the  hands,  or  as  tottering  or  reel- 
ing when  walking ;  as  wry  neck,  or  as  a  rolling  of  the  head 
by  its  own  weight,  which,  when  once  fixed,  is  kept  immovable. 

3.  Abscesses,  which  may  form  in  difi'erent  parts  of  the  body. 
Most  frequently  the  glands  about  the  neck  suppurate.  Ab- 
scesses in  the  ears  are  not  frequent,  and  in  the  lungs  they  have 
been  observed  only  occasionally. 

4.  Albuminuria  may  continue  a  great  while  after  the  attack 
is  over. 


CHAP.  XIV.  DIPHTHERIA.  373 

Prognosis. 

Often  the  mildest  attacks  in  the  commencement  have  re- 
sulted unfavorably.     Bad  signs  are : 

The  acrid  discharge  from  the  nostrils.  The  invasion  of  the 
larynx  or  the  development  of  diphtheric  croup.  Hemorrhages 
from  nose  and  mouth ;  purpura ;  petechiae.  Coldness  of  the 
external  surface  of  the  body.  Albuminuria ;  diarrhoea  and 
vomiting.  Convulsions.  Complications  with  scarlet  fever, 
measles  and  small-pox. 

Certain  localities  and  seasons  seem  to  be  the  occasion  of 
more  dangerous  cases  than  others. 

Th  era  pen  t  ic  Hints* 

Bryonia,  the  patient  is  quickly  prostrated,  shuns  all  motions 
and  complains,  on  moving  or  when  being  moved,  of  pain  every- 
where ;  white  tongue ;  feeling  of  dryness  in  the  mouth  without 
particular  thirst,  or  else  desire  for  large  quantities  of  water. 

Belladonna,  the  patient  is  restless,  complains  of  sore  throat; 
the  fauces  look  highly  inflamed;  the  pupils  are  enlarged;  he 
feels  drowsy, and  yet  unable  to  fall  asleep;  starts  suddenly  out 
of  sleep. 

Lachesis,  when,  after  Belladonna,  by  next  evening  there  is 
no  marked  change  for  the  better ;  or  when  he  is  even  worse 
in  the  morning  after  some  sleep,  with  a  decided  development 
of  those  skinny  patches  on  the  tonsils,  worse  on  the  left  side ; 
or  when  croupy  symptoms  appear,  and  the  patient  cannot  bear 
anything  touching  his  neck  and  throat. 

LycopodiiLm,  when  the  aspect  of  the  fauces  is  rather  of  a 
brownish  redness,  worse  on  right  side,  and  worse  from  swal- 
lowing warm  drinks ;  when  the  nose  is  stopped  up,  and  the 
patient  cannot  breathe  with  his  mouth  shut;  he  keeps  his 
mouth  constantly  open,  slightly  projecting  his  tongue,  which 
gives  him  a  silly  expression ;  the  nostrils  are  widely  dilated 
with  every  inspiration ;  on  awakening  out  of  a  short  nap  he 
is  awfully  cross,  kicks  and  behaves  naughty,  or  he  jumps  up 
in  bed,  stares  about  and  knows  nobody,  seemingly  dreaming 

33 


374  TREATMENT   OF   DISEASES. 

with  open  eyes;  frequent  jerkings  of  the  lower  hmhs,  mostly 
with  a  groan,  awake  or  slumbering ;  great  fear  of  being  left 
alone. 

Bhus  toxicodendron,  when  the  child  is  restless,  wants  to  bo 
carried  about,  wakes  up  every  now  and  then  complaining  of 
pain  in  the  throat ;  when  a  bloody  saliva  runs  out  of  the 
mouth  during  sleep ;  when  the  parotid  glands  are  a  good  deal 
swollen ;  when  there  are  transparent,  jelly-like  discharges  from 
the  bowels  as  stool,  or  afterwards. 

Apium  virus,  great  debility  from  the  beginning ;  the  mem- 
brane assumes  at  once  a  dirty-grayish  color ;  there  is  puffiness 
around  the  eyes;  pain  in  the  ears,  when  swallowing;  an  itchy, 
stinging  eruption  on  the  skin  ;  a  sensation  of  weakness  in  the 
larynx ;  numbness  of  the  feet  and  hands  and  even  paralysis. 
(Never  does  good  either  before  or  after  Rhus  tox.) 

Cantharides,  too  copious  or  difficult  urination ;  the  urine 
contains  shreds  or  coats  of  uriniferous  tubuli ;  extreme  pros- 
tration, sinking,  death-like  turns  ;  irritable-looking  rash  upon 
the  skin  or  shining  through  the  epidermis. 

Arsenicum,  great  r^jstlessncss,  constant  desire  for  cold  drink, 
but  takes  only  little  at  a  time,  or  better  by  drinking  hot 
water ;  all  symptoms  worse  about  midnight. 

Natrum  muriaticum,  swelling  of  the  submaxillary  glands  and 
lymphatics;  map  tongue ;  burning  in  the  throat ;  after  appli- 
cation of  caustics,  especially  nitrate  of  silver.  (In  difterent 
regions  of  Pennsylvania  a  weak  solution  of  kitchen-salt  was 
used  during  the  last  epidemic  as  a  gargle  with  great  success.) 

Tartarus  emetic,  difficult  breathing,  gasping  for  air;  rattling 
in  the  chest ;  retching,  vomiting  of  tenacious  mucus ;  small 
circular  patches,  like  snall-pox  pustules,  in  and  upon  the 
mouth  and  tongue ;  oedema  of  the  lungs. 

Nitric  acid,  ulcei-s  in  the  mouth ;  corroding  discharge  from 
the  nose ;  intermitting  puke. 


TABULAR  INDEX 


REMEDIES     USED,    THEIR    NAMES,    AND     THE 
DISEASES    IN    WHICH    EMPLOYED. 


Aconitum.  Aconltum  napellus.  Mox\k's  Hood,  A  poisoaous  plant  of 
the  mouutains  of  Europe. 
Fright,  I,  2.  Fear,  3.  Vexation,  6,  7.  Irritability,  8.  Colds  8,  15. 
16,  17.  Sun-stroke,  18.  Fatigue,  20,  21,  Excesses,  24.  Surfeiting, 
25.  Over-feeding,  26,  27.  Cold  drinks,  30.  Drunkenness,  34.  To- 
bacco,  38.  Herb  tea,  40.  Spanish  flies  41.  Sulphur,  42.  Bad  air, 
63.  Fainting,  63.  Acids,  64.  Toads,  70.  Malignant  pustule,  72. 
Bee-stings,  73.  External  injury,  78.  Bruises,  79.  Dislocation,  80 
Fracture,  81.  Wounds,  85,  87.  Lock-jaw,  86.  Bleeding  of  Gums,  86. 
Burns,  89.  Eye,  90.  Nose,  91.  Giddy,  97,  98.  Weak  Memory,  98. 
Blood  to  the  Head,  99.  Headache,  101,  102,  105,  106,  107.  Eyelid, 
112,113.  Eye,  114,116, 117,118,  Blindness,  123.  Light,  124.  Ears, 
131.  Nose,  134.  Catarrh,  138.  Cough,  147.  Hooping-cough,  149, 
Croup,  153,  154,  Congestion  to  the  Chest,  155.  Bloodspitting,  156, 
157.  Laryngitis,  160.  Bronchitis,  162,  164.  Palpitation,  16.5,  Asthma, 
168.  Pleurisy,  171.  Inflammation  of  the  Lungs,  172,  173,  17"*.  Con- 
cussion of  the  Chest,  176.  Quinsy,  177,  179.  Toothache,  184-193- 
194.  Face-ache,  203.  Bad  taste,  205.  Tongue,  208.  Vomiting  Blood, 
221.  Inflammation  of  Stomach,  227,  228,  229.  Worms,  232.  Itching 
of  Anus,  233,  234.  Piles,  236,  238.  Dysentery,  244,  245.  Cholera, 
250,251.  Liver  Complaint,  254.  Difficult  urinating,  256,  257.  Hernia, 
258,  259.  Suppressed  Menstruation,  262.  Pregnancy,  271,  274,  276, 
277,  282,  283.  Childbed,  284,  288,  289,  290, 291.  Infants,  296,  298,  299, 
300,  302,  304.  Teething,  308.  Infants,  312.  Vaccination,  321.  Rash, 
322.  Nettlerash,  322.  Measles,  324.  Scarlatina,  325,  327.  Chicken 
pox,  327.  Small-pox,  328.  Erysipelas,  328.  Gout,  337.  Rheumati.<!!n 
337,338,339,340.  Nightmare,  342.  Sleeplessness,  342.  Intermittent 
Fever,  349,  350  354.  Congestive  and  Remittent  Fevers,  354.  Yellow 
Fever,  359.  Fainting,  360.  Apparent  death,  363,  365,  366.  Apo- 
plexy, 367. 

(375) 


376  TABULAR   INDEX   OF   THE   REMEDIES  USED, 

Antimony  crudum      Cnide  antimony.     A    Combination   of    Ant/moht- 

MKTAI,  WITH  SlM'IlL'R. 

Colds,  14,  16.  Over-heating,  20.  Excesses,  24.  Surfeiting,  25,  26 
Uver-i'eeding,  27,  29.  Intoxication,  36.  Sour  food,  38.  Giddiness,  97. 
Headache,  109.  Eyelid,  114.  Eye,  117.  Earache,  128.  Ears,  132. 
Toothache,  184-193,  19.^,  200.  Bad  taste,  205.  Dyspepsia,  212. 
Nausea.  215.  Inflammation  of  Stomach,  227.  Piles,  237.  Diarrhcea, 
241,  243.  Pregnancy,  274.  Childbed,  291.  Infants,  299,  305,  310. 
Ulcers,  334.  Corns,  335.  AVarts,  336.  Gout,  337.  Intermittent 
Fever,  346,  350-354.     Apoplexy,  367. 

Arnica.  Arnica  moutana  Leopard's  bane.  A  plant  of  the  mountains  of 
Europe. 
Anger,  7.  Colds,  15.  Fatigue,  20,  21.  Sitting  up  at  night,  22. 
Surfeiting,  25.  Over-feeding,  27  Sour  food,  39.  Quinine,  40,  41. 
8arsaparilla,  41,  Bee-stings,  73.  Bruises,  77,  78,  79,  80.  Sprains,  80. 
Dislocation,  80.  Fracture,  81.  Wounds,  83,85,  87.  Bleeding  of  gums, 
86.  Ear,  91.  Nose,  91.  Throat,  92.  Stomach,  96.  Skin,  96.  Giddi- 
diness,  97.  Memory,  98.  Blood  to  the  bead,  100.  Ear-ache,  127. 
Ears,  130,  132.  Nose,  133,  134.  Cough,  144.  Hooping-cough,  151. 
Croup,  155.  Bloodspitting,  156,  157,  158.  Asthma.  168.  169.  Pleu- 
risy, 170,  171,  172.  Pneumonia,  175.  Concussion  of  Chest,  176.  Tooth- 
ache, 184-193,  194,  202.  Swelled  face,  203.  Faceacbe,  204.  Bad  taste, 
205,206.  Offensive  breath,  207.  Tongue,  208.  Dyspepsia,  210,  211. 
Nausea,  215.  Vomiting  of  blood,  221.  Prolapsus  ani,  235.  Bloody 
urine,  256,  257.  Pregnancy,  276,  278,  280,  282.  Childbed,  286,  287. 
290,292.  Infants,  302,313.  Measles,  325.  Boil,  331.  Carbuncle,  332. 
Gout,  337.  Rheumatism,  338,  339.  Intermittent  fever,  346,  350-354. 
Yellow  fever,  360.     Apparent  death,  362. 

Arnica  Tincture 

Fatigue,  21.  Bruises,  77,  78,  79,  80.  Sprains,  80.  Dislocation,  80. 
Fracture,  81.  Childbed,  286,  292.  Infants,  296.  Ulcers,  335.  Bed 
sores,  336. 

Apium  virus.  The  Chemical  Extract  of  the  Poison  of  the  Common 
Honev-Bee. 
Colds,  16.  Fatigue,  21.  Spanish  flies,  69.  Bee-stings,  73.  Wounds, 
86.  Giddiness,  98,  Memory,  98.  Eyelid,  112.  Eye,  115,  120. 
Weakness  of  sight,  123.  Light,  124.  Hoarseness,  139.  Cough,  142. 
Coti^estion  to  the  chest,  155.  Asthma,  168.  Concussion  of  chest 
176.  Quinsy,  180.  Toothache,  184-193,  201.  Tongue,  208.  Itch- 
ing  of  anus,  234.  Prolapsus  ani,  235.  Piles,  237.  Diarrhcea,  242. 
Difficult  urinating,  256,  257.  Tardy  menstruation,  261.  Pregnancy, 
275,  278.  Ciiildbed,  287.  Nettle  rash,  323.  Scarlatina,  327.  Erysi- 
pelas, 329.     Itching  of  bkiu,  330.     Apparent  death,  366. 


THEIR   NAMES,    ETC.  377 

^*«enicum.     Arsenicum  album.     White  Arsenic. 

Fear,  3.  Vexation,  7.  Colds,  12,  15,  16.  Fatigue,  20.  Loss  of 
fluids,  24.  Serfeitiiifr,  25,  26.  Cold  drinks,  30,  31.  Malt  liquors,  32. 
Drunkenness,  35.  Delirium  tremens,  36.  Tobacco,  38.  Sour  food,  39. 
Quinine,  40,  41.  Mercury,  43.  Toads,  70.  Fat-poison,  71.  Malignant 
pustule,  72,  73.  Glandered  horse,  72.  Snake  bite,  74.  Putrid  animal 
substance,  75,  76.  Bruises,  79.  Wounds,  85.  Burns,  89.  Stomach, 
96.  Headache,  102,  110.  Eyelid,  113.  Eye,  120.  Ears,  132.  Nose,- 
136.  Catarrh,  137.  Cough,  145,  147.  Croup,  154.  Blood-spitting, 
157,  158,  159.  Laryngitis,  160.  Bronchitis,  164.  Palpitation,  165. 
Asthma.  167,  168,  169.  Pleurisy,  172.  Inflammation  of  lung,  173,  174, 
175,  176.  Toothache,  184-193,  199,  20U.  Swelled  face,  203.  Faceache', 
204.  Bad  taste,  205.  Otfensive  breath,  207.  Scurvy,  207.  Affec- 
tions of  the  tongue,  208.  Nausea,  216.  Vomiting  blood,  221.  Inflam- 
mation of  stomach,  228.  230.  Abdominal  congestion,  230.  Piles,  238. 
Diarrhoea,  243.  Dysentery,  244,  245.  Cholera,  247,  250.  DifiBcult 
urinating,  257.  Hernia,  259.  Menstruation,  tardy,  261 — Suppressed, 263. 
Pregnancy,  373,  276.  Childbed,  287,  291.  Infants,  298,  304,  305,  310, 
312,  316.  Nettle  rash,  323.  Measles,  324,  325.  Scarlatina,  326.  Ery- 
sipelas, 329.  Itching  of  the  skin,  330.  Itch,  331.  Carbuncle,  332. 
Chilblain,  333.  Whitlow,  333.  Ulcers,  334,  335.  Gout,  337.  Eheu- 
matism,  339,  340.  Intermittent  fever,  345,  346,  348,  350-354.  Yellow 
fever,  360.     Apparent  death,  365.     Apoplexy,  367. 

Belladonna     Atropa  Belladonna.     A  European  poisonous  plant. 

Fright,  2,  3.  Fear,  3.  Mortification,  5.  Auger,  8.  Colds,  9,  10,  11, 
13,  14,  15,  16,  17.  Sun  stroke,  18,  19.  Overheating,  19.  Confine- 
ment,  23,  Malt  liquors,  32.  Drunkenness,  34.  Delirium  tremens,  36, 
37.  Coffee,  37.  Sour  food,  38,  39.  Laudanum,  40.  Quinine,  40,  41. 
Senega,  41.  Sarsaparilla,  41.  Sulphur,  42.  Mercury,  33.  Lead,  44, 
67.  Bad  gases,  62.  Bad  air,  63.  Liver  of  Sulphur,  65.  Iodine,  65. 
Poison  vine,  69.  Spirits  of  turpentine,  69.  Shell-fish,  70.  Snake  bites, 
74.  Mad  dog,  75.  External  injury,  78  Bruises,  80.  Lock-jaw,  86. 
Ear,  91.  Nose,  91.  Throat,  92.  Windpipe,  94,  95.  Stomach,  96. 
Giddiness,  98.  Memory,  98.  Blood  to  the  head,  99.  Headache,  101, 
104,  105,  107,  110.  Loss  of  hair.  111.  Eyelid,  113, 114.  Eye,  115,  117, 
118,119,120  Blindness,  123.  Light,  124.  Squinting,  124.  Mumps, 
125,  126.  Earache,  126.  Ears,  12^  129,  132.  Nose,  133,  134.  Catarrh, 
136.  Cough,  142.  Hooping  cough,  149.  Croup,  155.  CongestioL  to 
chest,  155.  Blood-spitting,  156,  159,  160.  Bronchitis,  163.  Palpita- 
tion, 165.  Asthma,  168.  Inflammation  of  lungs,  172,  173,174.  176. 
Quinsy,  178, 179.  Toothache,  184-193,  194,  197,  199,  201.  202.  Swelled 
face,  203.    Faceache,  203,  205.     Bad  taste,  205,  206.     Ofifensive  breath, 

33* 


378       TABULAR  INDEX  OF  THE  REMEDIES  USED. 

207.  Tongue,  208,  209.  Dyspepsia,  213.  Heartburn,  214.  Nausea 
215.  Stomachache,  218,  220.  Colic,  222,  223,  224.  Inflammation  of 
Btomach.  227,  229,  230.  Abdominal  congestion,  231.  Worms,  232. 
Piles,  238.  Diarrhoea,  242.  Dysentery,  245.  Cholera,  250.  Liver 
complaint,  254,  255.  Difficult  urinating,  256.  Hernia,  258.  Menstrua- 
tion, tardy,  261, — suppressed,  262, — painful,  264.  Pregnancy,  271,  274. 
276,  277,  279,  281,  283.  Childbed,  284,  285,  267,  289,  290,  291,  292,  293. 
Infants,  290,  298,  300,  302,  303,  306.  Teething,  308.  Infants,  312,  313, 
314,315.  Nettle  rash,  322.  Measles,  324.  Scarlatina,  325,  326,  327. 
Chicken-pox,  327.  Small-pox,  328.  Varioloid,  328.  Erysipelas,  328. 
Boil,  331.  Gout,  337.  Eheumatism,  337,  339,  340.  Sleeplessness, 
342.  Intermittent  fever,  348,  349,  350-54.  Congestive  and  remittent 
fevers,  354.    Yellow  fever,  359. 

Biyonia.     Bryonia  alba.     A  climbing  plant  of  Europe. 

Vexation.  6.  Anger,  7.  Colds,  9,  10,  11,  12,  14,  16,  17.  Overheat- 
ing, 19,  20.  Fatig^ie,  20,  21.  Surfeiting,  25,  27,  28,  29,  30.  Drinking 
water,  30.  Ice-water,  31.  Milk,  32.  Tobacco,  38.  Sour  food,  39. 
Sarsaparilla,  41.  Mezereum,  41.  Bad  air,  63.  Painting,  63.  Acids, 
64.  Poison  vine,  69.  Spirit  of  turpentine,  69.  Fat-poison,  71.  Over- 
lifting,  78.  False  step,  79.  Sprain,  80.  Lock-jaw,  86.  Bleeding  of 
gums,  86.  Headache,  103,  104,  108.  Eye,  116.  Mumps,  125.  Ears, 
129,  132.  Nose,  133,  134.  Catarrh,  138.  Cough,  144.  Hooping 
cough,  149.  Blood-spitting,  156,  159.  Bronchitis,  163.  Asthma,  167, 
168.  Pleurisy,  170,  171.  Inflammation  of  lungs,  172.  Quinsy,  180. 
Toothache,  184-193,  195,  200,  201.  Swelled  face,  203.  Faceache,  204. 
Bad  taste,  205,  206.  Oflensive  breath,  207.  Dyspepsia,  212.  Nausea, 
215.  Sea-sicicness,  217.  Stomachache,  219.  Inflammation  of  stomach, 
227,  22S,  229,  230.  Abdominal  congestion,  231,  Diarrhea,  243.  Dysen- 
tery, 244.  Cholera,  251.  Constipation,  353.  Liver  complaint,  255. 
Menstruation,  tardy,  261 — suppressed,  262.  Green  sickness,  267.  Preg- 
nancy, 273,  274,  276,  279,  280,  283.  Childbed.  289,  290,  291,  292,  293. 
Infants,  296,  298.  299,  305,  310,  314,  315.  Eash,  321.  Nettle  rash,  322. 
Measles,  324,  325.  Scarlatina,  326,  327.  Small-pox,  328.  Erysipelas, 
329.  Corns,  335,  336.  Gout  337.  Eheumatism,  338,  339,  340,  Inter* 
mittent  fever.  346,  347,  350-354. 

Calcarea.  .  Calcarea  carbonica.     Carbonate  of  Lime. 

Colds,  14,  16,  17.  Excesses,  23,  24.  Milk,  31.  Drunkenness,  35, 
36.  Delirium  tremens,  37.  Sour  food,  39.  Quinine,  40,  41.  Mercnry, 
43.  Glandered  horse,  72.  Bruises,  80.  Burns,  89.  Eye,  90.  Gid- 
diness.  97.  Loss  of  hair.  111.  Eyelid,  114.  Stye,  114.  Eye,  120 
Far-sightedness,  123.      Sight,   124.      Earache,  127.      Ears,  129,  132. 


THEIR  NAMES,   ETC.  379 

Nose,  136.  Hoarseness,  140.  Cough,  146,  147.  Laryigitis,  160. 
Toothache,  184-193,  202.  Bad  taste,  205,  206.  Nausea,  215,  216. 
Stomachache,  220.  Worms,  232.  Itchingof  anus,  233.  Prolapsus  ani,  235. 
Piles,  238.  Diarrhoea,  243.  Jaundice,  255.  Menstruation  too  ct  pious, 
264.  Green-sickness,  267.  Whites,  268.  Pregnancy,  275,  276.  Childbed, 
289,290,291,292,293.  Infants,  297, 305.  Teething,  308.  Infants,  311, 
312,  313,  314,  315.  Nettle  rash.  323.  Scarlatina,  326.  Abscess,  335. 
Corns,  336.  Warts,  336.  Gout,  337.  Rheumatism,  339.  Intermittent 
fever,  349,  350-354, 

Calendula  tincture.     Calendula  officinalis.    MARiaou).     Garden-plant» 

Lacerated  wounds,  85. 

Cantharidea  tincture.     Spanish  Flies. 
Bite  of  mad  dog,  75.     Burns,  88. 

Capsicum.     Capsicum  annum.     Cyenne  Pepper. 

Homesickness,  5.  Disordered  stomach,  29.  Drinking  water,  30. 
Headache,  109.  Hoarseness,  139.  Cough,  142.  Capsicum,  180. 
Bad  taste,  206.  Scurvy,  207.  Mucus  state  of  stomach,  214.  Heart- 
burn, 214.  Nausea,  215.  Abdominal  congestion,  231.  Bites,  237.  In- 
termittent fever,  347,  350-354 

Caibo  vegetabilis.     Vegetable  Charcoal. 

Colds,  11,  16,  17.  Over-heating,  19.  Late  hours,  23.  "  Excesses,  24^ 
Surfeiting,  26,  28.  Ice-water,  30.  Drunkenness,  36.  Coffee,  37. 
Quinine,  40,  41.  Mercury,  43.  Alkalis,  65.  Burns,  89.  Memory, 
98.  Loss  of  hair.  111.  Short-sightedness,  123.  Mumps,  126.  Ears, 
130,  131,  132.  Nose,  135.  Hoarseness,  139,  140.  Cough,  143,  147. 
Hooping-cough,  149,  150,  151.  Croup,  155.  Blood-spitting,  156,  160. 
Laryngitis,  160.  Pneumonia,  174.  Toothache,  184-193,  199.  Bad 
taste,  205,  206.  Offensive  breath,  207.  Scurvy,  207,  208.  '  Heartburn, 
214.  Nausea,  216.  Stomachache,  218,  220.  Flatulency,  226.  Worms, 
231.  Piles,  238.  Dysentery,  246.  Cholera,  250.  Difficult  urinating, 
257.  Pregnancy,  274,  276.  Infants,  297,  299,  310,  311,  316.  Nettle 
rash,  323,  Scarlatina,  326.  Erysipelas,  329.  Itching  of  the  skin,  330. 
Itch,  331.  Ulcer,  334,  335.  Intermittent  fever,  349, 350-354.  Yellow 
fever,  358,  359.     Fainting,  360.     Apparent  death,  365. 

Causticum.     Hahnemann's  Remedy,  made  from  Quicklime. 

Sour  food,  39.  Burns,  89.  Ears,  129,  131,  132.  Nose,  133.  Hoarse- 
ness, 139,  140.  Cough,  147.  Laryngitis,  160.  Toothache,  184-193, 
202.  Bad  taste,  206.  Colic,  224.  Dysentery,  246.  Menstruation, 
suppressed,  263— painful,  265.    Whites,  269.    Pregnancy,  276.    Infants, 


380       TABULAR  INDEX  OF  THE  REMEDIES  USED. 

314,  316.  Nettle  rash,  323.  Measles,  325.  Itch,  331.  Whitlow,  333. 
Ulcers,  335.    Warts,  336.     Gout,  337. 

Cepa.     Allium  cepa.     Onion. 

Colds,  10,  11,  16,  17.  Fatigue,  21.  Disordered  stomach,  29.  M*iraory, 
98.  Headache,  102.  Eye,  116.  Earache,  126.  Ears,  132.  Oatarrh, 
136,  138.  Cough,  143,  144.  Asthma,  168.  Toothache,  184-193,  199. 
Faceache,  205.  Offensive  breath,  207.  Dyspepsia,  213.  Colic,  223,  225. 
Flatulency,  226.  Difficult  urinating,  257.  Hernia,  258.  Childbed,  292. 
Nettle  rash,  323.     Sore  feet,  336. 

Chamomilla.  Matricaria  chamomilla.  German  Chamomile.  A  European 
plant. 
Vexation,  6,  7.  Anger,  7.  Irritable,  8.  Colds,  9,  10,  11,  13, 
16,  17.  Surfeiting,  25.  Drunkenness,  36.  Coffee,  37.  Tobacco,  38. 
Valerian,  41.  Rhubarb,  41.  Magnesia,  42.  External  injury,  78.  Frac- 
ture, 81.  Wounds,  86.  Burns,  89.  Throat,  92.  Giddiness,  97,  98. 
Blood  to  head,  100.  Headache,  102,  108.  Eyelid,  114.  Eye,  115,  117. 
Earache,  126.  Ears,  130,  132.  Catarrh,  137.  Hoarseness,  138.  Cough, 
141.  Croup,  152.  Bronchitis,  164.  Palpitation,  164.  Asthma,  169, 
Inflammation  of  lungs,  174.  Quinsy,  179.  Toothache,  184-193,  194. 
195,  202.  Swelled  face,  202.  Bad  taste,  205,  206.  Offensive  breath, 
207.  Dyspepsia,  211.  Heartburn,  214.  Stomachache,  217,  218,  219. 
Colic,  221.  222,  224,  225,  226.  Inflammation  of  stomach,  228,  230. 
Abdominal  congestion,  231.  Piles,  237.  Diarrhoea,  240,  241,  242,  243. 
Dysentery,  245.  Cholera,  247,  249.  Liver  complaint,  254.  Jaundice, 
255.  Menstruation,  too  copious,  264 — painful,  265.  Pregnancy,  274, 
275,  276,  278,  280,  282.  Childbed,  284,  285,  287,  290.  Infants,  297, 
298,  299,  300,  301,  302,  303,  306.  Teething,  309.  Infants,  312.  Rash, 
322.  Chilblain,  333,  Rheumatism,  338, 340.  Sleeplessness,  342.  Inter- 
mittent fever,  347,  350-354.     Fainting,  360.     Apparent  death,  366. 

CMoa.  Cinchona  ofiBcinalis.  Peruvian  Bark.  The  bark  of  a  South 
American  Tree. 
Colds,  11, 12,  14, 1 6.  Fatigue,  20.  Sitting  up  at  night,  22.  Excesses, 
23,  24.  Loss  of  fluids,  24.  Surfeiting,  26.  Over-feeding,  27,  28. 
Cold  drinks,  30.  Tea,  38.  Tobacco,  38.  Sour  food,  39.  Quinine,  40, 
41.  Digitalis,  41.  Asafoedita,  41.  Mercury,  43.  Arsenic,  44,  66. 
Iron,  44.  Bruises,  79,  80.  Wounds,  83,  85,  87.  Giddiness,  98.  Me- 
mory, 98.  Blood  to  head,  100.  Headache,  106,  109.  Loss  of  hair.  111. 
Eyelid,  114.  Eye,  120.  Short-sightedness,  123.  Earache,  127.  Ears, 
130.  Nose,  134.  Catarrh,  138.  Cough,  144.  Hooping-cough,  149. 
Croup,  152.  Bloodspitting,  156,  157,  158,  160.  Palpitation,  165. 
Asthma,  168, 169.     Inflammation  of  the  lungs,  172,  173, 174, 176.     Con- 


THKIR   NAMES,    ETC.  381 

cnssion  of  chest,  176.  Quinsy,  181.  Toothache,  184-103,  1^8.  200. 
Faceache,  204,  205.  Bad  taste,  20.o,  206.  Scurvy,  207.  Dyspcpsin, 
212.  Heartburn,  214.  Nausea,  215,  216.  Stomachache,  219,  220. 
Vomiting  blood,  221,  225.  Flatulency,  226.  Inflammation  of  stomach, 
228,  229.  Worms,  231.  Itching  of  anus,  233.  Piles,  2.38.  Diarrhoea,' 
242,  243.  Dysentery,  245,  246.  Cholera,  248.  Liver  complaint,  255! 
Jaundice,  255.  Difficult  urinating,  257.  Menstruation,  suppressed,  203 
—too  copious,  264.  Pregnancy,  274,  277,  279,  281,  282.  Childbed, 
286,  287,  291,  293.  Infants,  298,  300,  301,  311,  314,  315.  Bed  sores, 
336^  Gout,  337.  Rheumatism,  339.  Intermittent  fever,  344,  345,  346, 
350-354.     Fainting,  360.     Apparent  death,  362. 

Clna.     Artemisia  Santonica.     Wormseed.     An  Asiatic  plant. 

Headache,  102.  Nose,  135.  Cough,  143.  Hooping-cough,  150. 
Croup,  152.  Colic,  223.  Worms,  232.  Itching  of  anus,  233.  Infants, 
307.  Teething,  309.  Infants,  314,  316.  Intermittent  fever,  346,  350, 
554. 

Cocculus.  Menispermum  Cocculus.  A  poisonous  plant  from  the  East 
Indies. 
Surprise,  1,  Disappointed  love,  5.  Colds,  15.  Sitting  up  at  night, 
22.  Excesses,  24.  Cold  drinks,  30.  Coffee,  37,  38.  Tobacco, 
38.  Throat,  92.  Giddiness,  97,  98.  Eye,  117.  Mumps,  126.  Blood- 
spitting,  159.  Quinsy,  181.  Bad  taste,  205,  206.  Nausea,  215. 
Stomachache,  217,  218.  Colic,  222,  225.  Hernia,  259.  Menstruation, 
tardy,  260,— painful,  265.  Menstruation,  cessation  of,  268.  Whites,  269. 
Pregnancy,  270.  Childbed,  286.  Rheumatism,  340.  Intermittent  fever, 
348  350-354.     Fainting,  360. 

Coffea.     Coffea  arabica.     Coffee-beans. 

Vexation  6.  Irritability,  8.  Colds,  13,  16.  Fatigue,  20.  Excesses, 
27.  Disordered  stomach,  29.  Drunkenness,  34,  36.  Coffee,  37. 
Tea,  38.  Spices,  38.  Herb  teas,  40.  Laudanum,  40.  Valerian,  41. 
Magnesia,  41.  Acids,  64.  Prussic-acid,  66.  Wounds,  85,  87.  Blood 
to  head,  99.  Headache,  106,  109.  Ears,  131.  Bloodspitting,  160. 
Palpitation,  164.  Asthma,  169.  Quinsy,  181.  Toothache,  184-193, 194. 
Bad  taste,  205.  Stomach  ache,  218.  Painful  menstruation,  255.  Preg- 
nancy, 274.  Childbed,  284,  286,  287,  291.  Infants,  302,  307.  Teething, 
309.  Scarlet  rash,  327.  Sleeplessness  342.  Intermittent  fever,  348, 
350-354.     Fainting,  360. 

Colocynthis.     Cucumls  Colocynthis.     A  plant   from   the  shores   of  the 
Mediterranean. 
Vexation,   6.      Colds,   16.      Excesses,   24.      Disordered    stomach,   29. 


3S2       TABULAR  INDEX  OF  THE  REMEDIES  USED. 

Malt  liquors,  32.  Coffee,  i37.  Rhubarb,  41.  Magnesia,  42.  Lock- 
jaw,  86.  Wounds,  87.  Headache,  103,  109.  Eye,  117.  Faceache, 
204.  Bad  taste,  205.  Colic,  223,  224.  226.  Piles,  236.  Diarrhoea, 
241.  Dysentery.  246.  Difficult  urinating,  257.  Pregnancy,  276.  In- 
fants, 313.  315,  316.     Gout,  337.     Rheumatism,  340,  341. 

Crocus.  Crocua  satlvus.  Saffron.  A  plant  cultivated  in  Southern  Europe. 
Eye,  115,  117.  Nose,  135.  Menstruation,  copious,  264.  Pregnancy, 
270,  278.     Childbed,  287,  288. 

Cuprum.     Copper. 

Irritability,  8.  Colds,  10,  11,  12,  15.  Tobacco,  38,  Headache,  110. 
Squinting.  125.  Hooping-cough,  149,  151.  Bad  taste,  205,  206.  Worms, 
232.  Cholera,  248,  250.  Menstruation,  tardy,  261.  Childbed,  287. 
Rash,  321.     Erysipelas,  329.     Rheumatism,  341. 

Drosera.      Drosera  rotundifolia.      Sun-dew.      A   North  American   and 
European  plant. 
Homesickness,  5.      Farsightedness,  123.     Hoarseness,  139.      Cough, 
144.     Hooping-cough,  149,  150,     Croup,  152.     Measles,  325 

Dulcamara.  Solanum  Dulcamara.  Bitter-sweet.  A  climbing  plant  o 
America  and  Europe. 
Colds,  11,  12,  13.  14,  15,  16.  Excesses,  23.  Mercury,  43.  Blooc 
to  head,  100.  Eye,  119,  120.  Earache,  128.  Ears,  129,  130,  132. 
Catarrh,  137.  Cough,  145,  147.  Hooping-cough,  149.  Blocdspitting, 
156,  IGO.  Bronchitis,  154.  Pneumonia,  174.  Toothache,  184-193,  200, 
202.  Bad  taste,  205.  Dulcamara,  207.  Diarrhoea,  243.  Difficult  uri- 
nating,  257.  Pregnancy,  274,  283.  Childbed,  289,  291.  Infants,  297. 
305,311,316.  Nettle  rash,  322.  Measles,  325.  Abscess,  335.  Warts 
336.     Rheumatism,  399. 

Euphrasia.     Euphrasia  officinalis.    Eyebright.     A  European  and  Ameri- 
can plant. 

Eyelid,  113.  Eye,  115, 117.  Sight,  124.  Catarrh,  137.  Cough,  143,  144. 
Asthma,  168.     Infants,  297.     Measles,  324. 

Perrum.     Ferrum  aceticum.     Acetate  of  Iron. 

Colds,  12.  Drinking  water,  30.  Malt  liquors,  32.  Tea,  38.  Sour 
food,  39.  Quinine,  40,  41.  Mercury,  43.  Arsenic,  44.  Loss  of  hair, 
111.  Eye,  118.  Congestion  to  chest,  155,  158.  Bloodspitting,  160 
Pleurisy,  172.  Bad  taste,  205.  Nausea,  215.  216.  Itching  of  an  is,  23.3. 
Diarrhcea,  24:2,  243.  Green  sickness,  267.  Pregnancy,  279,  282.  In 
t'ants,  314,  315.     Gout,  337.     Intermittent  fever,  345,  350-354. 


THEIR  NAMES,    ETC.  383 

Glonolne.  Nitrate  of  Oxyde  of  Glycll.  A  Chemical  Preparation  from 
GlycerinfT. 
Fright,  2.  Irritability,  8.  Colds,  9,  17.  Sun-stroke,  18.  Heat,  19. 
Ice-water,  30,  31.  Digitalis,  41.  Lead,  44,  67.  External  injury, 
78.  Blood  to  head,  99.  Headache,  101.  Palpitation,  1C5.  Tooth- 
ache,  184-193,  194.  Pregnancy,  271.  Intermittent  fever,  349,  350-354. 
Congestive  and  remittent  fevers,  354.     Apparent  death,  366. 

Hepar.      Hepar  sulphurla  calcareum.      A    Chemical    Combination   of 
Lime  and  Sulphur. 

Anger,  8.  Colds,  11, 14, 16.  Fatigue,  21.  Surfeiting,  26.  Iodide,  42, 
65.  Mercury,  43.  Iron,  44,  Acids,  64.  Alkalis,  65.  Arsenic,  66. 
.  Chloride  of  tin,  67.  Zinc,  68.  Snake-bite,  74.  Bruises,  79,  80.  Wounds, 
84,86.  Windpipe,  95.  Stomach,  95.  Skin,  96.  Giddiness,  98.  Blood 
to  head,  100.  Headache,  107.  Loss  of  hair.  111.  Eyelid,  113,  114. 
Stye,  114.  Eye,  119,  120.  Light,  124.  Earache,  127.  Ears,  128, 129, 
130,  132.  Nose,  133.  Catarrh,  136.  Hoarseness,  140.  Hooping- 
cough,  151.  Croup,  152,  153,  154,  155.  Laryngitis  160.  Bronchitis, 
163.  Pneumonia,  174.  Quinsy,  178,  179,  182.  Toothache,  184-193, 
190.  Swelled  face,  203.  Faceache,  205  Bad  taste,  206.  Scurvy,  207. 
Dyspepsia.  213.  Mucus  state  of  the  stomach,  214.  Piles,  238.  Jaundice, 
255,  Difficult  urinating.  256,  257.  Childbed,  293.  Infants,  302,  304, 
305,  316.  Nettlerash,  323.  Small-pox,  328.  Erysipelas,  329.  Itching 
of  skin,  330.  Itch,  331.  Boil,  331.  Carbuncle,  332.  Whitlow,  333. 
Abscess,  335.  Rheumatism,  339.  Intermittent  fever,  349,  350-354. 
Fainting,  360,  361. 

Hydrophobium.     The  Chemical  Extract  of  the  Virus. 
Bite  of  mad  dog,  75 

Hyoscyamus  niger.     Henbane.     A  poisonous  plant  of  Europe. 

Grief,  4.  Mortification,  5.  Homesickness,  5,  Bite  of  mad  dog,  75. 
Lock-jaw,  86.  Bleeding  of  gums,  86.  Eyelid,  114.  Blindness,  124. 
Squinting,  125.  Mumps,  126.  Ears,  132.  Cough,  141.  Croup, 
152,  Bloodspitting,  159.  Pneumonia,  173.  Toothache,  184-193,  194, 
197,  Faceache,  205.  Bad  taste,  206.  Scurvy,  207,  Tongue,  209. 
Nausea,  216.  Inflammation  of  stomach,  227,  230.  Worms,  232.  Diffi- 
cult urinating,  256.  Pregnancy,  276,  279,  281.  Childbed,  286,  291, 
Infants,  307.  Measles,  325.  Rheumatism,  341,  Intermittent  fever, 
348,  350-354.     Apoplexy,  367. 

Hypericum  tincture.     Hypericum  perforatum.     St.  John's  Wort. 
Stabs  ani  cuts. 


384  TABULAR   INDEX   OF   THE   REMEDIES   USED. 

Ignatia.  Ignatia  amara.  St.  Ignatius'  Bkan.  Fruits  of  a  poisonoua 
tree  from  the  East  Indies. 
Fright,  1,  2.  Grief,  4.  Disappointed  love,  4.  Irritability,  8.  Colds, 
16.  Excesses,  24.  Water-drinking,  30,  Coffee,  37,  38.  Tea,  38.  Tobacco, 
38.  Spices,  38.  Herb  teas,  40.  Digitalis,  41.  Lock-jaw,  86.  Wounds, 
87.  Throat,  92.  Windpipe,  96.  Blood  to  head,  100.  Headache,  103, 
106.  Eye,  116,  117,  120.  Cough,  143.  Bloodspitting,  160.  Palpita- 
tion, 165.  Asthma,  169.  Quinsy,  179,  Toothache,  184-193,  197. 
Bad  taste,  206.  Stomachache,  218,  219.  Colic,  225.  Itching  of  anus, 
233,  234.  Prolapsus  ani,  235.  Piles,  237.  Menstruation,  too  copious, 
264.  Pregnancy,  275,  276.  Childbed,  286.  Infants,  296,  306,  314. 
Itching  of  the  skin,  330.  Rheumatism,  340.  Epilepsy,  341.  Sleep- 
lessness, 342.     Interniitteut  fever,  346,  348.     Apparent  death,  366. 

Ipecacuanha.  Cephaells  Ipecacuanha.  A  Native  Plant  of  Brazil. 
Colds,  10,  11, 12, 15,  16.  Sitting  up  at  night,  22.  Surfeiting,  25.  Over. 
feeding,  27.  Disordered  stomach,  29,  30.  Quinine,  40,  41.  Arsenic, 
44,  66.  Prussic  acid,  66.  Antimony,  67.  Opium,  68.  Wounds,  81. 
Windpipe,  94.  Stomach,  95,  96.  Headache,  102,  103,  104.  Catarrh, 
137,  138.  Cough,  141,  146,  147.  Hooping-cough,  149.  Bloodspitting, 
157,  158.  Bronchitis,  164.  Asthma,  167,  168,  169.  Pneumonia,  174, 
175.  Bad  taste,  206.  Dyspepsia,  213.  Mucous  state  of  stomach,  214., 
Nausea,  215.  Vomiting  blood,  221.  Inflammation  of  stomach,  227. 
Worms,  231.  Piles,  238.  Diarrhoea,  240,  242,  243.  Cholera,  247,  249. 
Menstruation,  too  copious,  264.  Pregnancy,  272,  279,  280.  Childbed, 
286.  Infants,  300,  301,  303,  307.  Teething,  309.  Infants,  311.  Rash, 
321,  322.  Measles,  324.  Scarlet  rash,  327.  Intermittent  fever,  344, 
346,  350-354.     Fainting,  361. 

Lachesis.  Trigonocephalus  Lachesis.  The  Chemical  Extract  of 
the  virus  of  this  South  American  Snake. 
Fright,  3.  Disappointed  love,  5.  Colds,  17.  Intoxication,  36.  De- 
lirium tremens,  35,  37.  Sour  food,  38,  39.  Mercury,  43.  Antimony,  67. 
Malignant  pustule,  72.  Bite  of  mad  dog,  75.  Braises,  79.  Wounds, 
87.  Stomach,  9.5.  Skin,  96.  Memory,  98,  Ears,  129,  130,  131,  132. 
Nose,  135.  Catarrh,  137,  Hoarseness,  140.  Cough,  147.  Croup,  154. 
Spitting  blood,  156  Laryngitis,  160.  Bronchitis,  163.  Inflammation 
of  the  lungs,  173.  Quinsy,  179, 182.  Toothache,  184-193,  201.  Swelled 
face,  203.  Tongue,  208.  Dyspepsia,  213.  Nausea,  215.  Inflammation 
of  stomach,  229,  230.  Worms,  232.  Piles,  238.  Constipation,  253. 
Liver  complaint,  254,  255.  Jaundice,  255.  Hernia,  259.  Menstrua- 
tion, tardy,  261, — painful,  265, — cessation  of,  268.  Pregnancy,  276. 
Scarlatina,  326.     Erysipelas,  329.     Itch,  331.     Carbuncle,  332.     Whit- 


THEIR   ENGLISH   NAMES,   ETC.  385 

low,  333.  Ulcers,  334.  Rheumatism,  338,  339.  Intermittent  ferer,  347, 
348,  350-343.   Yellow  fever,  359.    Apparent  death,  3G6.    Apoplexy,  367. 

Lycopodium.    Lycopodium  clavatum.     Club-moss.     A  German  plant. 
Stomach,  96.    Headache,  104.     Loss  of  hair.  111.     Nose,  136.     Croup, 
155.     Pleurisy,  172.     Quinsy,   179.     Menstruation,  tardy,  261.     Preg- 
nancy,    273,   274,    276,    282.     Childbed,    292,   293.     Infants,  304,  305. 
Nettle  rash,  323.     Scarlatina,  326.     Corns,  335.     Rheumatism,  339,  341. 

Mercurius.    Mercurius  solubilis  Hahnemanni,    Hahnemann's  Prepara- 
tion OF  Mercurt. 
Fright,    3.       Mortification,    5.       Home   Sickness,   5.       Irritability,   8. 
Colds,  10,  13,  14,  15,  16,  17.      Fatigue,  20.     Excesses,  24.     Drinking 
water,  30.     Drunkenness,  35.     Tobacco,  38.     Laudanum,  40.     Quinine, 

40,  41.     Asafcetida,  41.     Sarsaparilla,  41.     Mezereum,  41.      Rhubarb, 

41.  Sulphur,  42.  Mercury,  43.  Lead,  44.  Fainting,  63.  Opium,  68. 
Pink-root,  69.  Snake-bite,  74.  Lock-jaw,  86.  Throat,  92.  Skin,  96. 
Memory,  98.  Blood  to  Head,  100.  Headache,  104,  107.  Loss  of  hair, 
111.  Eye-lid,  113.  Eye,  117,  118,  119.  Blindness,  123.  Light,  124. 
Mumps,  12.5,  126.  Earache',  127.  Ears,  128, 129,  130, 132.  Nose,  133, 
135.  Catarrh,  136.  Hoarseness,  139,  140.  Cough,  142.  Hooping- 
cough,  149.  Blood-spitting,  156,  159.  Laryngitis,  160.  Bronchitis,  163, 
164.  Pleurisy,  172.  Pneumonia,  173,  174.  Concussion  of  chest,  176. 
Quinsy,  178,  179,  182.  Toothache,  184-193,  198,  199,  202.  Swelled 
face,  202,  203.  Bad  taste,  205,  206.  Offensive  breath,  207.  Scurvy, 
207,  208.  Tongue,  208.  Dyspepsia,  213.  Nausea,  215,  216.  Colic, 
222,  223.  Inflammation  of  stomach,  229,  230.  Worms,  232.  Prolapsus 
ani,  235.  Piles,  237,  238.  Diarrhoea,  241.  Dysentery,  244.  Consti- 
pation, 253.  Liver  complaint,  254,  255.  Jaundice,  255.  Difficult 
urinating,  257.  Pregnancy,  274,  275,  282.  Child-bed,  292.  Infants, 
297,  298,  299,  307.  Teething,  309,  Infants,  311,  312,  313,  314,  316. 
Measles,  325.  Scarlatina,  326.  Chicken-pox,  327.  Small-pox,  328. 
Erysipelas,  329.  Itching  of  Skin,  330.  Itch,  331.  Boil,  331.  Whit- 
low,  333.  Abscess,  335.  Rheumatism,  338,  339,  340.  Intermittent 
fever,  349,  350-354. 

Natrum  muriaticum.     Kitchen  Salt. 

Fatigue,  21.     Sour  food,  39.     Stings  of  insects,  73.      Pneumonia,  176. 
Bad   taste,  205,  206.     Scurvy,  208.     Tongue,  209.      Dysentery,   244. 
Constipation,   253.       Menstruation   suppressed,   263.       Whites,   269. 
Pregnancy,  273.     Warts,  336.     Intermittent  fever,  348,  350,  354. 
2A  34 


386  TABULAR   INDEX   OF   THE  .REMEDIES   USED. 

Nuz  moschata.  Myriatica  moschata.  Nutmeg,  from  the  East  Indies. 
Colds,  10,  11,  12,  13,  14,  16,  17.  Fatigue,  21.  Excesses,  24.  Intoxi- 
cation,  35.  Memory,  98.  Headache,  108.  Cough,  143.  Palpitation. 
165.  Tooth-ache,  184-193,  195.  Offensive  breath,  207.  Tongue,  209. 
Stomach-ache,  219.  Diarrhoea,  243.  Menstruation  tardy,  261 — sup- 
pressed, 262.  Pregnancy,  273,  274,278,  283.  Child-bed,  285.  Infants, 
311.     Intermittent  fever,  349,  350-354.     Fainting,  360. 

N-'.^  vomica.     Strychnos  nux  vomica.     The  Seed  of  this  East  Indian 
Tree. 

Vexation,  6.  Anger,  7.  Irritability,  8.  Colds,  9,  10,  11,  12,  13,  14, 
16,  17.  Sun-stroke,  19.  Sitting  up  at  night,  22.  Late  hours,  23. 
Mental  application,  23.  Excesses,  23,  24.  Loss  of  fluids,  24. 
Surfeiting,  25,  Overfeeding,  27.  Disordered  stomach,  28,  29.  Ice 
water,  30,  31.  Milk,  32.  Drunkenness,  34,  35,  36.  Coffee,  37.  To- 
bacco, 38.  Spices,  38.  Sour  food,  38.  Herb  teas,  40.  Laudanum,  40. 
Digitalis,  41.  Valerian,  41.  Colchicum,  41.  Rhubarb,  41.  Magnesia, 
42.  Lead,  44,  67.  Arsenic,  44,  66.  Bad  gases,  62.  Bad  air,  63. 
Phosphorus,  65.  Alcohol,  65.  Prussic  acid,  66.  Antimony,  67. 
Opium,  68.  Stomach,  96.  Giddiness,  97,  98.  Memory,  98.  Blood  to 
head,  99,  100.  Headache,  101,  102,  103,  106,  108.  Eyelid,  113.  Eye, 
115,  116,  117,  120.  Far-sightedness,  123,  Light,  124.  Ear-ache,  127. 
Ears,  130,  132.  Nose,  135.  Catarrh,  13",  Hoarseness,  139.  Cough, 
140.  Hooping-cough,  149.  Croup,  152.  Congestion  to  the  chest,  155. 
Blood-spitting,  158, 159.  Bronchitis,  163.  Palpitation,  165.  Ashthma, 
167,  168.  Pleurisy,  170.  Inflammation  of  the  lungs,  174.  Concussion 
of  chest,  176.  Quinsy,  180.  Tooth-ache,  184r-193,  196.  Bad  taste, 
205,  206,  Offensive  breath,  207.  Dyspepsia,  211.  Heartburn,  214. 
Nausea,  215.  Sea  sickness,  216.  Stomach-ache,  217,  218.  Vomiting 
blood,  221.  Colic,  222,  223,  225.  Flatulency,  226.  Inflammation  of 
stomach,  227,  228,  229,  230.  Abdominal  congestion,  230.  Worms,  231. 
Itching  of  anus,  233,  234.  Prolapsus  ani,  235.  Piles,  236,  237.  Diar- 
rhoea, 243.  Dysentery,  244.  Cholera,  247,  249.  Constipation,  253. 
Liver  complaint,  254.  Jaundice,  255.  Difficult  urinating,  256,  257. 
Hernia,  258,  259.  Painful  menstruation,  265  ; — too  copious,  264.  Preg- 
nancy, 271,  273,  274,  275,  276,  279,  283.  Child-bed,  285,  287,  292. 
Infant,  296,  297,  298,  299,  301,  303,  311,  312, 314,  315.  Nettle-rash,  323. 
Measles,  325.  Itching  of  the  skin,  330.  Carbuncle,  332.  Chilblain, 
332.  Ulcers,  335.  Gout,  337.  Rheumatism,  339,  340.  Nightmare, 
342.  Sleeplessness,  342.  Intermittent  fever,  348,  350,  354.  Fainting, 
360.     Apparent  death,  365,  366.     Apoplexy,  367. 


THEIK  NAMES,    ETC.  387 

Opium.     Papaver  somniferum.     White  Poppy. 

Fright,  1,  2  Fear,  3.  Grief,  4.  Colds,  12.  Excesses,  24.  Ice 
water,  30.  Drunkenness,  34.  Delirium  tremens,  36.  Spices,  33.  Di- 
gitalis,  41.  Lead,  44,  67.  Bad  gases,  62.  Bad  air,  63.  Painting,  63. 
Antimony,  67.  Camphor,  68.  Saffron,  69,  Turpentine,  69.  External 
injury,  78.  Wounds,  87.  Windpipe,  95.  Stomach,  95.  Blood  to 
head,  100.  Headache,  104.  Blood-spitting,  157,  159.  Palpitation, 
165.  Pneumonia,  173,  175.  Sea-sickness,  216.  Cholera,  250.  Con- 
stipation, 253.  Jaundice,  255.  Hernia,  258.  Menstruation  suppressed, 
262.  Pregnancy,  271,  273,  276.  Child-bed,  285,  289.  Infants,  299^ 
300,  302,  307.  Epilepsy,  341.  Nightmare,  342.  Sleeplessness,  342. 
Intermittent  fever,  349,  350,  354.  Fainting,  360.  Apparent  death,  363, 
366.     Apoplexy,  367. 

Phosphorus. 

Over-feeding,  28.  Sour  food,  39.  Fat-poison,  72.  False  step.  79. 
Wounds,  87.  Giddiness,  98.  Eye,  120.  Nose,  136.  Hoarseness,  140, 
Hooping-cough,  149.  Croup,  154.  Congestion  to  the  chest,  155. 
Laryngitis.  160.  Bronchitis,  163.  Asthma,  169.  Inflammation  of  the 
lungs,  172,  173,  174.  Toothache,  184-193,  199.  Stomachache,  221. 
Cholera,  251.  Menstruation,  tardy,  261.  Pregnancy,  270,  273.  Child- 
bed, 291,  2^3.  Measles.  324,  Erysipelas  329.  Corus,'335.  Apparent 
death,  366. 

Phosphoric  acid. 

Grief,  4,  5.  Disappointed  love,  4,  5.  Home-sickness,  5.  Colds,  11,  12, 
16.  Sitting  up  at  night,  22.  Excesses,  23.  Loss  of  fluids,  24.  Mer- 
cury, 43.  Fat-poison,  72.  Glandered  horse,  72.  Snake-bites,  74.  Ex 
ternal  injury,  78.  Fracture,  81.  Headache,  110,  Loss  of  hair.  111. 
Shortsightedness,  123.  Earache,  128.  Ears,  132.  Nose,  133.  Cough, 
145,147.  Toothache,  184-193,201,202.  Bad  taste,  205,  206.  Tongue, 
208.  Nausea,  215.  Diarrhoea,  242.  Cholera,  249,  Childbed,  292. 
Scarlatina,  326.     Corns,  335,     Fainting,  360. 

Platinum.     A  Metal. 

Fright,  3,  Disappointed  love,  5.  Grief,  5,  Anger,  7,  Excesses,  24. 
Lead,  44,  67,  Headache,  107.  Earache,  128,  Faceache,  204.  Stomach- 
ache, 221.  Dysentery,  244.  Constipation,  253.  Menstruation,  too  co- 
pious, 264,  Pregnancy,  270,  271,279,  281,  Childbed,  287,  289,  Infanta 
314. 


388  TABULAR   INDEX   OF   THE   REMEDIES   USED. 

Pulsatilla.     Pulsatilla  nigricans.     A  plant  of  Germany. 

Fright,  2,  3.  Fear,  3.  Vexation,  6.  Anger,  7.  Irritable  8.  Colds, 
10,  11,  13,  14,  16,  17.  Sitting  up  at  night,  22,  23.  Mental  application, 
23,  Excesses,  24.  Surfeiting,  25,  26.  Overfeeding,  27,  28,  29.  Cold 
drinks,  30,  31.  Coffee,  37.  Tobacco,  38.  Herb-teas,  40.  Quinine,  40, 
41.  Colchicum,  41  Spanish  flies,  41.  Rhubarb,  41.  Magnesia,  42 
Sulphur,  42.  Mercury,  43.  Iron,  44.  Acids,  64.  Alum,  66.  Tin,  67. 
False  step,  79,  Burns,  89.  Ears,  91.  Giddiness,  97.  98.  Headache, 
101,102,1*03,106,107,109.  Eyelid,  113.  Stye,  114.  Eye,  116, 118, 120. 
Shortsightedness,  123.  Light,  124.  Ears,  126, 1'/S,  129, 130, 132.  Ear- 
ache, 127,  130,  132.  Nose,  134.  Catarrh,  137,  138.  Hoarseness,  139. 
Cough,  144.  Hooping-cough,  149.  Congestion  to  the  chest,  155. 
Bloodspitting,  156,  1.58,  159.  Bronchitis,  162.  Palpitation,  165. 
Asthma,  167,  168,  169.  Pleurisy,  170,  171.  Inflammation  of  the  lung, 
174.  Concussion  of  chest,  176.  Quinsy,  180.  Toothache,  184-193,  196, 
200.  Swelled  face,  202,  203.  Faceacbe,  205.  Bad  taste,  205,  206. 
Offensive  breath,  207.  Dyspepsia,  211.  Mucus  state  of  stomach,  214. 
Heartburn,  214.  Nausea,  215.  Stomachache,  218,  219.  Vomiting 
blood,  221.  Colic,  222,  223,  226.  Flatulency,  226.  Inflammation  of 
stomach,  227,  229.  Abdominal  congestion,  231.  Worms,  231.  Piles, 
237,  238.  Diarrhoea,  241.  Dysentery,  244.  Constipation,  253.  Diffi- 
cult urinating,  256,  256.  Menstruation,  tardy,  260,  261, — suppressed, 
262, — painful,  265,— cessation  of,  268.  Green  sickness,  265.  Whites, 
268.  Pregnancy,  272,  273,  274,  275,  276,  277,  283.  Childbed,  285, 
287,  289,  290,  291,  292.  Infants,  297,  299,  301,  303,  312,  313,  314. 
Nettle  rash,  322.  Measles,  324,  325.  Scarlet  rash,  327.  Erysipe- 
las, 329.  Itching  of  the  skin,  330.  Chilblain,  332.  Gout,  337.  Rheu- 
matism,  338,  339,  440.  Nightmare,  342.  Sleeplessness,  342.  Inter- 
mittent  fever,  346,  347,  348,  350-354.     Apoplexy,  367. 

Rheum.     Rheum  palmatum.     Rhubarb. 

Colds,  17.  Magnesia,  42.  Bad  taste,  205,  206.  Mucus  state  of 
stomach,  214,  Diarrhoea,  240,  242,  243.  Pregnancy,  274.  Childbed, 
291.     Infants,  300,  307. 

Rhus.     Rhus  toxicodendron.     Poison-oak.     North  American  shrub. 

Colds,  9,  10,  14,  16,  17.  Fatigue,  20,  21.  Malt  liquors,  3l  Sour  food, 
39.  Quinine,  40.  Mezereum,  41.  Mercury,  43.  Malignant  pustule, 
72.  External  injury,  78.  False  step,  79.  Sprains,  70.  Wounds,  85. 
Lock-jaw,  86.  Bleedingof  gums,  86.  Burns,  89.  Nose,  91.  Giddiness, 
97,98.  Memory.  98.  Blood  to  head,  100.  Headache,  101, 108.  Eye- 
lid, 113,  114.  Eye,  116.  Squinting,  124.  Earache,  128.  Nose,  133, 
135.    Hoarseness,  139.    Cough,  143.    Bloodspitting,  159.    Inflammation 


i 


THEIR   NAMES,    ETC.  380 

of  the  luugs,  173.  Quinsy,  180.  Toothache,  184-193,  200.  Faceache, 
205.  Bad  taste,  205,  206.  Abdominal  congestion,  231.  Piles,  238. 
Diarrhoea,  241.  Dysentery,  245,  246.  Hernia,  2.58,  259.  Pregnancy  274, 
376.  Childbed,  290,  291.  Infants,  297,  298,  299,  304,  305,  312,  313 
314,  315.  Nettle  rash,  322.  Measles,  324.  Scarlatina,  326.  Small' 
pox,  328.  Erysipelas,  329.  Itching  of  the  skin,  330.  Corns,  335,  336. 
Gout,  337.  Rheumatism,  338,  339,  340,  341.  Intermittent  fever,  346, 
350-354. 

Ruta. .  Ruta  graveolens.     Garden-Rue.    A  European  shrub. 

Bruises,  79.  Sprains,  80.  Lock-jaw,  8G.  Shortsightedness,  123.  Nose, 
133.     Prolapsus  ani,  235. 

Ruta  tincture.  Ruta  Graveolens.     Common  Rue. 
Bruises,  79. 

Sambucus.     Sambucus  nigra.     Elder  Flowers. 

Fright,  2.  Colds,  12.  Fatigue,  21.  Sprain,  80.  Hoarseness,  139. 
Croup,  152,  154.     Asthma,  169.     Intermittent  fever,  346,  350-354. 

Sang;uinaria.     Sanguinaria  canadensis.     Blood-root.     A  North  Amerv 
can  plant. 
Sick  headache  104,106.     Nose,  136.     Inflammatiou  of  the  lungs,  173. 

Becale.     Secale  cornutum.     Ergot  of  Rye. 

Lock-jaw,  86.  Bloodspitting,  159.  Pregnancy,  278.  Childbed,  285, 
287,  289,  291.     Ulcers,  334. 

Bilicea.     Pure  Flint. 

Colds,  10,  16,  17.  Over-heating,  20.  Fatigue,  22.  Drinking  water,  30 
Intoxication,  36.  Sulphur,  42.  Mercury,  43.  Wounds,  84,  86.  Bleed- 
ing of  gums,  86.  Eye,  90.  Throat,  92.  Windpipe,  94,  95.  Stomach, 
95.  Skin,  96.  Giddiness,  98.  Blood  to  head,  100.  Headache,  105, 
110.  Loss  of  hair,  111.  Stye,  114.  Eye,  120.  Farsightedness,  123. 
Blindness,  124.  Ears,  128,  132.  Nose,  136.  Catarrh,  138.  Hoarse- 
ness,  139,  140.  Cough,  146,  147.  Bloodspitting,  156.  Quinsy,  182. 
Toothache,  184-193,  202-  Bad  taste,  205,  206.  Offensive  breath,  207. 
Worms,  232.  Itching  of  anus,  233.  Pregnancy,  274,  277.  Childbed, 
292,  293.  Infants,  302,  314,  316.  Vaccination,  321.  Erysipelas,  329 
Carbuncle,  332.  Whitlow,  333.  Ulcers,  334,  335.  Abscess,  336. 
Rheumatism,  339.     Nigltmare,  342. 

34* 


390      TABULAR  INDEX  OF  THE  REMEDIES  USED, 

Spigella.     Spigelia  anthelmintica.     South  American  Pink-root. 

Colds,  10,  11.     Sick  headache,  105,  106.    Palpitation,  165.     Faceache 
204,     Rheumatism,  339. 

Spongla.     Spongia  tosta.     Bcrnt  Sponge. 

Drunkenness,  35.     Hoarseness,  140.     Croup,  153, 154.     Laryngitis,  160. 
Bronchitis,  162,  163.     Bad  taste,  205. 

Staphisagria.  Delphinium  Staphisagria  Staveaacre.  Aplant  of  South- 
era  Europe. 
Disappointed  love,  4.  Grief,  5,  6.  Vexation,  5.  Anger,  7.  Excesses, 
22,  23.  Loss  of  fluids,  24.  Drinking  water,  30.  Tobacco,  38.  Sour 
food,  38.  Mercury,  43.  Wounds,  85,  86.  Lock-jaw,  86.  Memory,  98. 
Loss  of  hair,  111.  Stye,  114.  Light,  124.  Ears,  132.  Nose,  136. 
Cough,  145,  147.  Bloodspitting,  156.  Palpitation,  165.  Toothache, 
184-193,  200,  201.  Faceache,  205.  Bad  taste,  206.  Heartburn,  214. 
Bea-sickness,  216.  Stomachache,  221.*  Dysentery,  244,  246.  Consti- 
pation, 253.     Pregnancy,  275.     Infants,  305. 

Stramonium.    Datura  stramonium.     Thorn-apple. 

Lock-jaw,  86.     Pregnancy,  277.     Childbed,  286.     Infants,  307. 

Sulphur.     Brimstone. 

Grief,  4,  5.  Colds,  10,  12,  14,  15,  16.  17.  Fatigue,  21.  Mental  appli- 
cation,  23.  Excesses,  22,  23.  Loss  of  fluids,  24.  Drinking  water,  30. 
Milk,  32.  Drunkenness,  35.  Sour  food,  39.  Quinine,  40,  41.  Valerian, 
41.  Mercury,  43.  Glandered  horse,  72.  Over-lifting,  78.  Burns,  89. 
Eye,  90.  Ear,  91.  Nose,  91.  Giddiness,  97,  98.  Memory,  98.  Blood 
to  head,  100.  Headache,  105.  106,  110.  Eyelid.  113,  114.  Eye,  117, 
119,120.  Farsightedness,  123,  Blindness,  124.  Light,  124.  Earache, 
127.  Ears,  128, 129,131,132.  Nose,  133, 135.  Catarrh,  138.  Hoarse- 
ness, 139,  140.  Cough,  146,  147.  Congestion  to  chest,  155.  Blood- 
spitting,  158.  Laryngitis,  160.  Bronchitis,  164.  Palpitation,  165. 
Asthma,  169.  Pleurisy,  171.  Inflammation  of  the  lungs,  173,  174,  175. 
Concussion  of  chest,  176.  Quinsy,  179,  181,  182.  Toothache,  184-193, 
194,  199  Swelled  face,  203.  Bad  taste,  205,  206.  Offensive  breath, 
207.  Dyspepsia,  213.  Nausea,  215,  216.  Vomiting  blood,  221 
Colic,  223,  226.  Fhitulency,  226.  Inflammation  of  stomach,  229 
Abdominal  congestion,  230.  Worms,  232.  Itching  of  anus,  233,  234 
Piles,  238,  239.  Diarrhoea,  241,  242.  Dysentery,  246.  Cholera 
248,  249.  Constipation,  254.  Liver  complaint,  255.  Jaundice,  255. 
Hernia,  258,  259.     Menstruation,  tardy,  260,  261, — suppressed,  263, — too 


THEIR  NAMES,   ETC.  391 

copious,  264,— cessation  of,  263.  Green  sickness,  266.  Whites,  269 
Pregnancy,  272,  273,  274,  276,  277,  282.  Childbed,  291,  292,  293'.  In. 
fants,  296,  298,  299,  303,  304,  305,  307.  Teething,  309.  Infants,  311, 
312,  313,  314,  315.  Vaccination,  321,  322.  Nettlerash,  323.  Measles^ 
324,  325.  Sniall-pox,  328.  Varioloid,  328.  Erysipelas,  329.  Itching 
of  the  skin.  330.  Itch,  331.  Boil,  331.  Chilblain,  332.  Whitlow,  333. 
Ulcers,  335.  Corns,  335.  Gout,  337.  Rheumatism,  339,  341.  Night- 
mare, 342.     Intermittent  fever,  349,  350-354.     Apparent  death,  366. 

Tartar  emetic.     Tartarus  emeticus. 

Anger,  7.  Overfeeding,  28.  Windpipe,  94,  85.  Hooping-cough,  151. 
Croup,  152.  Bronchitis,  162.  Inflammation  of  the  lungs,  173.  Infants. 
297.  Chicken-pox,  327.  Small-pox,  328.  Apparent  death,  364.  Apo- 
plexy, 367. 

Variolinum.    The  chemical  extract  of  the  virus. 
Small-pox,  328. 

Veratrum.  Veratnim  album.  White  Helt-ebore.  A  European  plant. 
Fright,  2.  Fear,  3.  Vexation,  6,  7.  Irritabilitty,  8.  Colds,  16,  17. 
Fatigue,  20,  21.  Surfeiting,  25.  Drinking  water,  30.  Delirium  tremens, 
36.  Coffee,  37.  Tobacco,  38.  Sour  food,  38.  Quinine,  40.  Arsenic,  44, 
66.  Bad  air,  63.  Alum,  66.  Fat-poison,  71.  Over-lifting,  78.  Lock-jaw, 
86.  Veratrum,  98.  Headache,  104,  107, 110.  Eyelid,  114.  Eye,  116, 
117.  Blindness,  124.  Light,  124.  Ears,  131, 132.  Cough,  145.  Hooping- 
cough,  149, 1.50,  151.  Croup,  152.  Bloodspitting,  159.  Palpitation,  164, 
166.  Asthma,  169.  Pneumonia,  174, 175.  Quinsy,  181.  Toothache,  194. 
Faceache,  204.  Bad  taste,  205,  206.  Mucus  state  of  stomach,  214. 
Inflammation  of  stomach,  228.  Abdominal  congestion,  231.  Diarrhoea, 
242,  243.  Dysentery,  244,  245.  Cholera,  247,  250.  Hernia,  258.  Men- 
struation, tardy,  261,— suppressed,  262,  263, — painful,  265.  Pregnancy, 
273.  Infants  311,  312.  Rheumatism,  341.  Intermittent  fever,  346, 
349,  350-354.     Fainting,  360.     Apoplexy,  367, 


INDEX. 


Abdomen,  affections  of  the 221 

Abdomen,  determination  of  blood 

to  the 230 

pain  in  the  (see  Colic) 221 

large  wounds  in  the 87 

Abortion  (see  Miscai-riage) 277 

Abscess 335 

Acids,  injurious  effects  of 39 

Administration  of  Medicines,  (In- 
troduction)    xxii 

Adulteration   of   Food   and   Li- 
quors   45 

of  Beer 47 

of  Brandy 47 

of  Bread 48 

of  Butter 48 

of  Flour 48 

of  Malt  Liquors 47 

of  Milk  and  Ice  Cream 47 

of  Vinegar 47 

of  Wine 45 

Affections  of  the  Abdomen 221 

of  the  Chest 138 

of  the  Ears 14,  125 

of  the  Eyes 14,  112 

of  the  Head 97 

of  the  Mind 1 

of  the  Mouth.. . , 205 

of  the  Nose 133 

of  the  Stomach 209 

of  the  Teeth 182 

of  the  Throat 177 

of  the  Tongue 208 

Afterpains 287 

Ague 343 

Air,  Poison  in  the 48 

Anger 7 

Animal   Poisons,   antidotes    and 

treatment 69 

Antidotes  to  Poisons 55 

Table  of  76 

Anus,  itching  of  the 233 


Anus,  prolapsus  of 234 

Antimony,  Poisoning  from 67 

Apoplexy 367 

Apparent  Death 361,  366 

from  a  Fall 362 

from  being  Frozen 364 

from  Drowning 364 

from  Hunger 362 

from  Lightning 365 

from  mental  emotions 366 

from  poisonous  Gases 366 

from  Suffocation,  by  choking, 

hanging  and  pressure 363 

of  Infants 294 

Appetite,  want  of 209 

Arsenic,  effects  of 44 

poisoning  from 66 

Asafoetida,  effects  of 41 

Ascarides 231 

Asiatic  Cholera 248 

Asthma 166 

Bark,  Peruvian 40 

Bees,  stings  of 73 

Bed-sores 336 

Bilious  Complaints  (see  Dyspep- 
sia and  Liver  Complaint)  21 0, 254 

Birth,  reception  at 294 

Bites  of  Leeches 83 

of  Mad  Dogs 75 

of  Snakes 73 

Bladder,  irritability  of  the 255 

Blister,  bad  effects  from 41 

Blindness,  attacks  of 123 

Blood,  loss  of 24 

Spitting  of 156 

Vomiting  of 221 

Boils 331 

Bowels,  costiveness  of  the 251 

Looseness  of  the 239 

Pain  in  the 12 

Brain,  concussion  of 77 

(393) 


394 


INDEX. 


Broasts,  gathered 202 

Preparation  of  the 282 

Swelliiii;-  of,  iu  Infants 301 

Breath,  bu.l 203 

Breathing,  difficulty  of 11 

Brimstone,  bad  eflects  of 4'i 

Bronchitis 1(U 

Bruises 79 

and  Shocks  on  the  Head 79 

oftheEj-es 79 

Burns  and  Scalds 87 

Camphor,  bad  effects  of 69 

Caniver  of  the  Mouth 207 

Carbuncle 332 

Catarrh 10,  136 

of  Infants 398 

Catarrh  on  the  Breast  (of  child- 
ren)    161 

Chest,  affections  of  the 138 

Congestion  of  the lo5 

Spasms  in  the 166 

Chicken-pox 327 

Chilblain 332 

Cliildreu,  treatment  of 294 

Chills  and  Fever 343 

(Jhin  Cough  (see  Hooping  Cough) 

Chlorosis  (Green  Sickness) 266 

(Jholera,  asiatic 248 

Cholera  infantum 309 

Cholera  morbus 247 

Cholerine 249 

Coffee,  bad  effects  of. 37 

Cold,  consequences  of. 9 

Fruits,  injurious 32 

in  the  Head 136 

Water,  injurious  effects  of . . . .  30 

Colic.   Griping 221 

Menstrual 264 

of  Infants 301 

from  overfeedins: 29 

Colchicum,  bad  effects  of 41 

Concussion  of  the  Brain 77 

of  the  Chest 176 

Confinement  within  doors 23 

Duration  of 288 

Congestive  Fever 354 

Constipation 2.51 

During  confinement... 292 

During  pregnancy 273 

of  Infants 299 

Consumption  of  the  Lungs 176 

Contusion  of  the  Chest 176 

Convulsions 285 


Convulsions  of  Children 305 

in  consequence  of  Fright 2 

Epileptic 341 

Puerperal 285 

Copper,  poisoning  from 67 

Cord  (navel  string),  tying  of  the..  295 

Corns 335 

Cosmetics  and  washes,  poisonous  53 

Costiveness 251 

Cough 11,  140 

Cramp  during  pregnancy 276 

in  the  Limbs 340 

Crick  in  the  neck 340 

Croup 151 

Deafness 131 

Death,  apparent 361 

Delirium  Tremens 35 

Delivery,  treatment  after 286 

Flooding  after 286 

Dentition 307 

Despondency  during  pregnancy..  277 

Diarrhoea . /. 12,  239 

during  confinement 291 

during  pregnancy 273 

from  heat, 19 

from  overfeeding 29 

from  taking  Cold 12 

in  consequence  of  mental  emo- 
tions        3 

of  1  nfants '  300 

Diet  of  Children  after  weaning..  313 

Digitalis,  bad  effects  from 41 

Directions  for  prescribing xx 

Diseases,    in    which    the    reme- 
dies are  used 368 

Dislocations 80 

Dread  of  Light 124 

Dropsy 343 

Doses,  repetition  of xxii 

Drowning,  apparent  death  from.   364 

Drunkenness 32 

Dry  rot ..49,     6.' 

Dysentery 244 

Dyspepsia^ 211) 

Diphtherii!    Diphlli  riti? .^C8 

Ears,  affections  of  the 14,  91,  125 

Ache 14,   120 

Buzzing  in  the 14,  130 

Inflammation  of  the 126 

Running  from  the 12S 

Emotions,  mental 1 

Epilepsy .341 

Epileptic  Convulsions 341 


INDEX. 


S95 


Eruptions 29 

of  Infants 303 

Erysipelas,  (St.  Anthony's  Fire).  328 

E  xcesses 23 

Expectoration,  bloody 156 

External  Injuries 77 

Eyes,  affected  by  Scrofula 118 

Bruise  of 79 

Foreign  substances  in  the 90 

Gout 117 

Diseases  of  the 14,112 

Far-sightedness 123 

Inflammation  of  the 114 

Rheumatic  inflammation  of  the  116 

Near-sightedness 123 

Weakness  of  the 121 

Eyelids,  inflammation  and  swell- 
ing of  the 112 

Stye  on  the 114 

Face  swelled 202 

Faceache 203 

Fainting 360 

and  Hysteric  Fits  during  preg- 
nancy    274 

in  consequence  of  Fright 2 

False  Step 78 

Fatigue 20 

Fear,  consequences  of 3 

Feet,  suppressed,  perspiration  of    10 

Feet,  sore  from  walking 21,  336 

Felon 333 

Fever  and  Ague 343 

Congestive 354 

Bilious 354 

Pernicious 354 

Remittent 354 

Yellow 354 

from  overfeeding 29 

Intermittent 343 

Milk 289 

Scarlet 323 

Fits  in  consequence  of  Fright. . .       2 

Flatulency 28,  226 

Flooding 286 

and  Miscarriage 280 

Fluids,  loss  of 24 

Foreign    substances    introduced 

into  the  human  body 90 

into  the  Ear 91 

into  the  Eye 90 

into  the  Larynx  or  Windpipe.      93 

into  the  N  ose 91 

into  the  Skin 96 


into  the  Stomach  and  Intestines  95 

into  the  Throat 91 

Fractures 81 

Fright,  consequences  of 1 

Frost-bite 332 

Fruit,  disordered  stomach  from..  2G 

Fruits,  poisonous .'iO 

Furunculus 3H1 

Malignant 332 

Galling,  excoriation 299 

Gas,  poisonous,  antidotes .60 

Chlorine 62 

Gas,  generated  by  Charcoal 62 

General  diseases 321 

Giddiness 79 

Gout* 3H6 

Green-sickness,  (Chlorosis) 266 

Grief  and  Sorrow 4 

Griping  in  consequence  of  Cold.,     11 

in  consequence  of  overfeeding..  29 
Gums,  bleeding  of  the 86 

Hair,  cutting  the,  cold  from 17 

Hair,  losing  the Ill 

after  confinement 293 

Hanging,  apparent  death  from..  363 

Head,  affections  of  the 97 

Determination  of  the  Blood  to 

the 00 

Elongation  of,  in  Infants 206 

Large  wounds  on  the 86" 

Headache 12,  100 

caused  by  suppression  of  Rheu- 
matism, Gout,  Eruptions,  &c  110 

from  Catarrh 13,  l(t2 

from  Constipation lo3 

from  determination  of  Blood...      99 
from  disordered    Stomach  and 

Bowels 103 

from  drinking  Coffee 37 

from  heat 19 

from  intoxication 36 

from  overfeeding 27 

from  Rheumatism 102 

Headache,  nervous 1"6 

Sick 104 

Hearing,  hardness  of 131 

Heart,  palpitation  of  the 1 C4 

Heartburn 214 

Heat,  headache  from 19 

Diarrhoea  from 19 

Heat-spots 312 

Hemorrhage  from  the  Lungs..  ..  156 


396 


INDEX. 


from  Wounds 82 

from  Leech- bites 83 

Ilemorrhoids,  (piles) 235 

durinj^  pregi.atcy 276 

Herb  Teas 40 

Hernia  (Rupture) 2o7 

Hiccough 303 

Hoarsenfess 13S 

Home  Sickness 5 

Hooping  Cough 148 

Hydrophobia 75 

Ice 30 

Cream 32 

Injurious  effects  of 30 

Indigestion 210 

Infants,  treatment  of 294 

Apparent  death  of 294 

Breasts,  swelling  of 301 

Cholera  infantum 309 

Colic  of 301 

Constipation  of 299 

Convulsions  of 305 

Crying  of 302 

Diarrhoea  of 300 

Ears,  running  of 312 

Excoriations 299 

Eyes,  sore 296 

Gum 299 

Head,  scurf  on  the 303 

Head,  swelling  of. 296 

Heat-spots 312 

Hiccough 303 

Jaundice 299 

Limping 313 

Meconium 295 

Milk-crust 303 

Navel,  rupture  of 312 

Dressing  of 295 

Putting  to  the  Breast 296 

Restlessness 302 

Retention  of  Urine 299 

Sleeplessness 302 

Scurf  on  the  Head 303 

Sniffles  of 297 

Sore  mouth   297 

Spasms 305 

Squinting 314 

Stuttering 314 

Summer  complaint 309 

Teething 307 

Thrush 297 

Vaccination 317 

Weaning 313 


Wetting  the  bed 314 

Whites 313 

Injuries,  external 77 

Instructions  for  patients,  how  to 

write  to  a  Physician xxix 

Intestines,  inflammation  of  the. .  226 

Intoxication,  effects  of 32 

Iodine 42 

Iron,  injurious  effects  of 44 

Irritability 8 

Itch 330 

Itching  (pruritus) 274 

of  the  Anus 233 

of  the  Skin 330 

Jaundice 255 

Kitchen-salt,  injurious  effects  of .     51 
Utensils,  poisonous 51 

Labor 283 

protracted 284 

Laryngitis 160 

Laudanum,  effects  of. 40,  68 

Lead,  injurious  effects  of 44 

Leech-bites 83 

Leucorrhoea  (whites) 268 

of  Children 313 

Light,  dread  of  the 124 

Lightning,  apparent  death  from..  365 

Limbs,  pains  in  the,  from  Cold...  15 

List  of  Medicines xxxvi 

Liver  Complaint 254 

Inflammation  of  the 254 

Lochia ,..  288 

Lock-jaw 86 

Loins,  pain  in  the 339 

Loss  of  Blood  and  other  Fluids..  24 

Love,  disappointment  in 4 

Lowness  of  Spirits 277 

Lumbago 339 

Lungs,  inflammation  of  the 172 

Lungs,  hemorrhage  from  the....  156 

Luxations 80 

Mad  dogs,  bite  of 75 

Magnesia,  injurious  effects  of....     41 

Malt  Liquors 32 

]Mania-a-potu 35 

Measles 323 

Meat,  poisonous 50 

Meconium 295 

Medicines,  administration  of xxii 

in  which  diseases  used 368 


INDEX. 


397 


Repetition  of xxii 

Memory,  weakness  of 98 

Menses,  cessation  of  the 267 

Suppression  of  the 262 

Menstruation 259 

Painful 264 

during  pregnancy 270 

Tardy ". 260 

too  copious 263 

Mental  application 23 

Emotions 1 

Mercury,  injurious  eSects  of 42 

Metallic    Substances,    poisoning 

from 64 

Milk,  excessive  secretion  of. 291 

Fever 289 

Involuntary  emission  of 291 

Poisonous 49 

Suppression  of  the 290 

Milkcrust 303 

Milkscab 303 

Mind,  affections  of  the 1 

Miscarriage 277 

Mis-steps 78 

Morning  Sickness 272 

Mosquitoes,  bites  of 73 

Mouth,  baby's  sore 297 

Bad  taste  in  the 205 

Canker  of  the 207 

Scurvy  in  the 207 

Mumps 125 

Mushrooms,  poisonous 51 

Nausea  and  Vomiting 15,  215 

Navel,  dressing  of  the 295 

Rupture  of  the 312 

Neck,  crick  in  the 340 

Nettle-rash 322 

Neuralgia 203 

Night,  sitting  up  at 22 

Nightmare 29,  341 

Nipples,  excoriated 292 

Nocturnal  urination 314 

Nose,  affections  of  the 133 

Bleeding  of  the 134 

Foreign  substance  in  the 91 

Obstruction  of  the,  in  infants.  297 

OzcEna 136 

Polypus  of  the 135 

Swelling  of  the 133 

Nursing,  weakness  from 293 

Old  School  Medicines,  bad  effects 

of 39 

Opium,  bad  effects  of 40 


Overfeeding,  colic  from. 

Diarrhoea,  from 

Eruptions  from 

Fever  from 

Flatulency  from 

Headache  from 

Nightmare  from . . . . , 

of  children 

Sleeplessness  from,., 

Vomiting  from 

Overheating 

Overliftinar 


29 
29 
29 
29 
28 
27 
29 
27 
29 
28 
17 
78 


Pain  in  the  back  and  side  during 

pregnancy 276 

in  the  Face 203 

in  the  Stomach 217 

in  the  loins  and  back 339 

Paints,  poisonous 52,  63 

Palpitation  of  the  heart 164 

Panaceas    and  Vermifuges  poi- 
sonous    53 

Perspiration,  suppressed,  of  the 

Feet 11 

Peruvian  Bark 40 

Piles 235 

Pleurisy 177 

False 170 

Pneumonia 172 

Poisons    and    adulterations,  de- 
tections of 45 

Alum, 46 

Arsenic 46 

Cocculus  indicus 47 

Cosmetics 53 

Copper , 48 

Kitchen-salt 51 

Lead  and  other  Metals 46 

Lime 47 

Magnesia 48 

Meat  or  fat,  poison 51 

Nux  vomica 47 

Potash,  soda 48 

Strychnine 47 

Sulphur 45 

Sulphuric  acid 47 

Sublimate,  corrosive 46 

Poisoning,  treatment  in  case  of..  55 

Antidotes,  general 56 

Table  of 76 

By  Acids,  mineral 64 

Prussic 65 

Alcohol 64 

Alkalis 64 


35 


3<^ 


INDEX. 


A-lum 66 

Antimony 67 

Arsenic 66 

Bichromate  of  Potash 67 

Blighted  grains  (  Ergot) 68 

Camphor  and  Saffron G9 

Cheese  and  Curds 50 

Copper 67 

Diseases,  generated  in 71 

Dry  Hot 62 

Gases 60 

Chlorine 62 

Hair  of  Caterpillars 70 

Honey,  poisonous 69 

Iodine 65 

Lead 67 

Liver  of  Sulphur 65 

Laudanum 68 

Meat,  putrified 70 

Mushrooms 68 

Nitrate  of  Silver 67 

Opium 68 

Painting  of  houses,  &c 63 

Phosphorus 65 

Pink  root 69 

Poison  vine 69 

Saltpetre,  Sal  ammoniac 66 

Shellfish 70 

Spanish  flies 69 

Spirits  Turpentine 69 

Sublimate,  corrosive 66 

Tin 68 

Vitriol 66 

Poisonous  wounds 72 

from     animal,    putrified     sub- 
stances    75 

Bees 72 

Mad  Dog 74 

Musquitoes 73 

Snakes 73 

Polypus  of  the  Nose,.. 135 

Preface xv 

Prescribing,  directions  for xx 

Pregnancy 269 

Constipation  during 273 

Derangements,  during 270 

Diarrhoea  during 271 

Diet  during 269 

Dress  during 270 

Exercise  during 269 

Preparations  of  Breast 282 

Depression  of  Spirits 277 

Fainting  during 274 

False  Pains  during 282 


Hemorrhoids  or  Piles  during.  275 
Pains  in  Back  and  Sides  during  275 

Cramps  during 276 

Menstruation  during 270 

Morning  Sickness  during 271 

Toothache  during 275 

Vertigo  and  Head^he  during  270 

Prickly-heat 312 

Prolapsus  ani 234 

Prussic  acid,  poisoning  from 65 

Pruritus 274 

Pustule  malignant,  poisoned  by.     71 

Quickening 284 

Quinine,  bad  effects  ot 40 

Quinsy 177 

Rash 321 

from  disordered  Stomach 29 

Scarlet 327 

Rectum,  prolapsus  of  the 234 

Remedies,  tabular  index  of  the, 

and  diseases  in  which  used..  368 

Repetition  of  doses xxii 

Restlessness  of  Infants 302 

Rheumatism 336 

Acute 337 

Rhubarb,  bad  efi'ects  from 41 

Ringworm  of  the  Scalp 304 

Rose 328 

Rubeola 328 

Rupture  (Hernia) 257 

Scabies 330 

Scald  Head 304 

Scalds  and  Burns 87 

Scarlatina 325 

Scarlet  Fever 325 

Scarlet  Rash 327 

Sciatica 340 

Scurf  on  the  Head 303 

Sea-sickness 216 

Sensitiveness  and  Irritability....  8 

Shortness  of  Breath 166 

Show,    a,   at    the    beginning    of 

Labor 284 

Sick  Headache 104 

Sick  Stomach 15,  215 

Sight,  weakness  of 121 

Sitting  up  at  Night 22 

Skin,  diseases  of  the 321 

Itching  of  the 330 

Foreign  substances  in  the....  96 

Sleeplessness 342 


INDEX. 


899 


from  drinking  Coffee 37 

of  Children 302 

from  overfeeding 29 

Small-pox 328 

Snakes,  bite  of 73 

Hniffles 297 

Sorrow 4 

Sour  food 38 

Spasms 2,  305 

Spectacles,  on  the  use  of 121 

Spitting  of  Blood 156 

Sprains 80 

Squinting  of  Children ....  124 

Step,  false 78 

Stings  of  Bees 72 

of  Mosquitoes 7;j 

of  Spiders 73 

Stitch  in  the  side 170 

Stomach,  affections  of  the 209 

Disordered 25 

Foriegu  substance  in  the 95 

Infiammatioa  of  the 226 

Mucous  state  of  the .  213 

Sick,  during  Pregnancy 272 

Sick,  from  Fright 2 

Spasms  and  Fain  in  the 217 

Weakness  of  the 210 

Storm,  affected  by 17 

Sublimate,  Poisoning  from 66 

Sulphur,  injurious  effects  of 42 

Summer  complaint 309 

Sun-stroke 18 

Surfeitiuff 25 

Swelled  Face 202 

Swooning 360 

Syringe 236 

Tape-worm 232 

Tea,  consequences  of  drinking...  38 

Teeth,  affections  of  the 182 

Teething 307 

Tetanus 86 

Throat,  affections  of  the 177 

Foreign  bodies  in 91 

Sore 177 

Sore,  in  consequence  of  Cold..  14 

Thrush 297 

'j'hunder-storm,  affected  by 17 

Tic  Douloureux 203 

Tobacco,  smoking 38 

Toe-nails  growing  into  the  flesh.  335 

Tongue,  inflammation  of  the 208 

Lameness  of  the 209 

Toothache 182 


during  Pregnancy 275 

from  drinking  Coffee 38 

Trismus t<(j 

Tubercular  Consumption 17.) 

Ulcers 334 

Umbilical  Hernia 312 

Urinary  complaints 25.5 

Urine,  bloody 257 

Urination,  painful 2r.5 

Urine,  incontinence  of 314 

Ketention  of  after  Delivery  ..  :.92 

Retention  of,  in  Infants 299 

Urticaria 322 

Yaccination 317 

Valerian,  bad  effects  from 41 

Varicose  Veins 275 

During  Pregnancy 275 

Varioloid ." 328 

Veins,  swelled  and  knotted 375 

Vermifuges,  injurious  effects  of  .  53 

Vertigo 79 

Vexation 6 

Vision,  defects  of 121 

Vomiting 15,  215 

from  Intoxication 35 

from  overfeeding 28 

in  consequence  of  friirht 2 

of  Blood ." 221 

Wakefulness  of  Infants 302 

Water,  cold 30 

difficulty  in  making 255 

pure 49 

Warts 336 

AVater  Brash 214 

Weakness  from  nursing 293 

of  sight 121 

Weaning 314 

Wetting  the  bed 314 

Whites 268 

Whitlow 333 

Windpipe,  foreign  bodies  in  the-.      93 

Women,  diseases  of 259 

Worms 23] 

Wounds 81 

Cleansing  of 84 

Contused 79 

Hemorrhage  caused  by 82 

in  the  Abdomen,  large 86 

on  the  head,  large 86 

Poisoned 72,  75 

Yellow  fever 354 


I 


(Successors  to  WM.  KADDE.) 

J0tnepa%c   |JiiI)lica!ions. 


Aconite,  Monograph  upon.     Bj'  Dr.  Reil $0  75 

Apis  Mellifica.     Provings.     By  C.  W.  Wolff 25 

Baehe,  B.    Thekapeutics,  2  vols.,  just  issued 10  00 

Becker,  A.  C.     On  Coustiixition 50 

Dentition 50 

Diseases  of  the  Eye 50 

Bell  on  Diakkhcea.     Bound  in  miislin 1  25 

sheepskin  or  half  morocco 1  75 

interleaved  with  writing  i^aper,  half  morocco . .  2  25 
Bebjeau,  on  Syphilis,  Gonoekhcea,  Spee&iatoerhcea,  and  Urinary  Diseases. 

Revised,  and  with  numerous  additions,  by  Feost,  in  linen 1  50 

half  morocco  or  sheep   ...  2  00 

interleaved,  half  morocco. .  3  00 

Beeytogle's  Epitome  of  Homceopathic  Medicines 1  50 

Interleaved  with  writing  jiaper,  half  morocco 3  00 

Bkyant,  J.     Pocket  Manual  and  Repertory 2  00 

BuET,  Chakacteristic  Mateeia  Medica 3  00 

Interleaved  with  writing  paper,  half  morocco 5  00 

BoENNiNGHAUSEN,  C.     On  Intermittent  Fever v 50 

Theeapeutic  Pocket  Book T 3  00 

Sides  of  the  Body 25 

Chabacteeistic  Mateeia  Medica.     Wm.  H.  Buet 3  00 

Caspaei,  Homceopathic  Domestic  Physician 1  00 

CocKBUEN,  Medical  Refoem 50 

Ceoseeio,  Obstetrics 90 

Cuetis  AND  Lillie's  Epitome 75 

Douglass,  on  Intermittent  Fevee 38 

Family  Homosopathy.  Ellis 1  50 

Feanklin,  E.  C.  ,  Science  and  Aet  of  Suegeey.     Vol.  1 8  00 

Gbay   and    Hempel,   Homceopathic   Examinee,    new  series,    two  volumes, 

bound 5  00 

Gross,  Compaeative  Mateeia  Medica,  translated  and  edited,   with  addi- 
tions, by  C.  Hering 10  00 

Gueensey,  Egbeet,  Domestic  Practice 2  50 

Gentleman's  Handbook 1  00 


Hahnemann,  Lessee  WEiriNoa $4  00 

Mateeia  Medica,  Puea. 9  GO 

Cheonic  Diseases,  5  vols ^ 10  00 

Oeganon 150 

Haetmann,  Diseases  of  Childeen 3  00 

Chief  Remedies,  second  series 1  00 

Helmuth,  on   Suegeey 3  50 

Hempel,  C.  J. ,  Domestic,  in  German. 75 

French.      75 

Organon 1  00 

homceopatht 1  00 

Laege  Repeetory 9  00 

Materia  Medica,  2  vols 12  00 

Hempel  and  Beaeley,  Theory  and  Practice 3  50 

Henderson,  Homceopathic  Practice 50 

Hering,  C,  Domestic  Physician 2  50 

HrrcHMANN,  Consumption 75 

Holcombe,  W.  H.  ,  Yellow  Fever 38 

Homceopathic  Cookery.  . . .  _ 50 

HdGBES,  PH.UiMACODYNAMICS. 2   00 

Therapeutics 2  00 

Hull,  Hom<eopathic  Examinee,  few  copies  only  remain  of  this  very  valu- 
able periodical,  three  vols.,  handsomely  hound 15  00 

Hulls,  Jahr  Symptomatology 7  00 

Repertory 4  00 

Humphrey,  on  Dysentery 50 

Cholera 38 

Hydriatics,  Manual  of  the  Water  Cube 50 

J  AHE,  G.  H.  G. ,  Forty  Years'  Peactice 3  50 

Clinical  Guide  or  Pocket  Repertory,   second  American 
from  the  third  German  edition,  with  the  addition  of  the 

new  remedies  by  Lilienthal 3  00 

Diseases  of  Females 2  50 

the  Skin   1  50 

New  Manual,    with  additions,    by  Possaet,    and  Clinical 

Repertory 4  50 

Venereal  Diseases 4  00 

Jahe  and  Gruner,  Phaemacopceia 3  00 

JosLiN,  Principles  of  Homceopathy 75 

Homceopathic  Treatment  of  Cholera 1  00 

Kbeussler,  Acute  and  Chronic  Diseases. 75 

Laueie,  Homceopathic,  Domestic , 60 

Appendix  to  Domestic  Practice 1  25 

Parent's  Guide 1  00 

LrppE,  Text-Book  of  Materia  Medica 6  00 

Interleaved  with  writing  paper,  and  bound  in  two  volumes,  half 

morocco , 10  00 

LuTZE,  Theory  and  Practice 2  50 

Madden,  Utebine  Diseases 50 


Malan,  Family  Guide $0  30 

in  Spanish 75 

Makct,  Homceopathy  and  Allopathy 50 

Makcy  and  Hunt,  Theory  and  Practice,  2  vols 12  00 

Materia  Medica  of  American  Provings 1  00 

Metcalfe,  Homceopathic  Provings 1  60 

Millabd,  Consumption 75 

Guide  for  Emergencies 60 

Morgan,  Indigestion,  Constipation,  &c 75 

Munde,    Scarlet  Fever 50 

Mure,  Materia  Medica 1  00 

Neidhard,  Crotalus  Horridus  in  Yellow  Fever 1  00 

Diphtheria 1  75 

New  Provings,  Cistus  Can,  Cobaltum  Zingeberis,  &c 75 

North  American  Journal  op  Homceopathy,  per  vol 4  00 

whole  set,  18  volumes,  bound.  50  00 

Peters,  Headache  and  Diseases  of  the  Head 3  00 

Apoplexy 1  00 

Diseases  of  Females  and  Married  Women 1  50 

.  Diseases  of  Married  Females 1  00 

Principal  Diseases  of  the  Eye  1  50 

Internal  Diseases  of  the  Eye 1  00 

Diseases  of  the  Brain 1  00 

Nervous  Derangement.  ...    1  00 

Principles  and  Practice  of  Medicine 3  50 

Philadelphia  Journal  of  Homceopathy,  4  vols.,  bound. .,. 8  00 

Rapou,  on  Typhoid  Fever T. -v^. .  .  50 

Eaue,  C.  G.,  Pathology  and  Therapeutics .\ 5  00 

Interleaved  with  writing  paper. '.\^ 8  00 

Rau,  Organon 1  25 

Hell,  on  Aconite 75 

ROKITANSKY,  PATHOLOGICAL   AnATOMY. 75 

Rueceert's  Therapeutics  4  00 

Ruoff's  Repertory 1  50 

Rush,  Veterinary 50 

ScHAEFER,  Veterinary  Homceopathy 2  00 

Sharp's  Tracts,  12  numbers 75 

Small,  Homceopathic  Practice ...  3  00 

Pocket  Manual 40 

Diseases  of  thr  Nervous  System 1  00 

Stapp,  Additions  to  Materia  Medica 1  50 

Tessier,  Asiatic  Cholera 75 

Pneumonia 75 

Therapeutic  Guide,  Forty  Years'  Practice,  G.  H.  G.  Jahb 3  50 

Therapeutics,  The  Science  and  Art  ox^B.  Baehr,  2  vols 10  00 

Williamson,  Diseases  of  Females  and  CniLDSfeN 1  00 

Wolff,  Apis  Mellifica. 25 


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